--• u

j

Facsimile of the Annual Housing Survey Questionnaire: 1975

(S.c. IV) O.M.B, No. <41.S7SOlS; Approv•l EKplres JMuarr !976

1. Control numbe• (cc () I"""·· 3. S.1Ti>le(o::~J HOTICE - All information whlcll would pe<mlt

PSU Is._, I'"·;·· (Cc 2) {Circle OM) ld.,1!f!catlon of the indi,.ldual will l>t held In

Fl or F2 Slria confidence, """ will be uHd onlr by P••on1 .,ia1ed in end f0< ille PUO<POIU of lhe ..... ,..,. The infor1N1tion will not be dl1cl<>led 0< .. t .... d lO olhers for.,,, p...,po1u •

,..,,.,. AHS..2 ......... U.S. DEPAllTME"IT o.- COMMERCE

SOCIAL ANO ECONOMIC STATISTICS ADMINISTllATION

•UIU<"U 0 .. T .. I CIMOUO "CT•NG U COLLliCTI .... •GIMT .-011

DEPAIH"IENT o.- HOUSING ANO l/llDAN DEVELOPMENT

ANNUAL HOUSING SURVEY 4. TrP• of s.,.,..,.i Sa. tnwrvi-r ,..,,,. r .,.,. (cc:l)

•0"•• a 0 Special NATIONAL SAMPLE - 1975 20 Addren

piece e. Date ltlWvl- CCll'Ol...:11 d, Line No. of HH

•0CEN- HDnlhldoylyear rupcnd .. nt (cc 10) JO Permit '"' ..

6. Convenlon - morgor 1totu1 7. T1po of lntorvle•

@!) 1 O Merced - in current sample

2 O Con~rted to more ho1,1sinz 1,1niu

Interview @ 10Rez1,1lar} .

2 O URE Skip to Check /1em A, pore 14

3 O No chanie t O Vacant - Skip to Section 1/8, PGrc 4

• O Nonintervie ..

., S.Ction I '-. I TRA.HSCRIBE FROM COHTROI. CA.RD r -.. R.oun for nonlntoni..,. (cc 40d) •• Rffson for nonlnt.rwio• (cc <!Od)

o. Type A c. Typo C

@ 1 O No one home @1 • O Unused line of listing sheet 2 O Te~ororily absent 1s O Demolished 30 Refosed

21 O Dins1er Ion (fire, flood, etc.) • O Unable to locate s O Other occupied - Specif~ Ill O Ho1,1se or trailer moved

17 O Merged - not in current u~le

111 O Built after April I, 1970

'b.Typo8 111 D Other - Specif~

@ 6 0 ~nt or ~ary tusiness or Stora&] ~If/ 20 O Unused permit - abandoned 1 O OTHER 1,1ni1, except oooccupied tent 11em

site or trailer site .. , . , , • , , . • . Se d. Unit boarded-up (cc 40c) .a O Unoccupied tent site or trailer 1i1e

10 0 Under construction - not reii.dy (§) 1QYes

o D To bo do~li>t.d •..• } 20N0 1 1 O Condemned ...... , . 22 O Unfit, vandalized.. . . Fill items (Fi!I for Type B's only) u O Unfit, burned 01,1t, , , , 8d ond e

e. Stotu1 of 1!1Vctur• u D Unfit, other , , .... ,

@ 1 O Strucwre has no housinz unit 12 D Other - Specifyi' 2 O Structure has one or more housing 1,1nits

1 s O Permit granted - construction not s1<1rted

S.cllon I - Conthtued

TYPE A TYPE B TYPE C

1-3* 1-3· 1-3° 1-)• 4-Sd** <!-Sd .. '4-Sd·· 4_7••

QUESTIONNAIRE 7 1 1

QUESTIONNAIRE 9-11

So .. ,, I) ITEMS TO BE " Bd and e (Where ITEMS TO BE .. FILLED FOR II oppropriote) FILLED FOR Section !IA, HONINTERVIEWS ll IO VACANT UNITS page 3

" II Section llB, ll pages '4-7

*NOTE - Fill items 1-3 only if these items have not already been filled in by the Rezional Office.

·•NOTE - In item Sci enter the relationship of the person providing the information for the nonintervie• or vacant: e.g .. landlady or neighbor. If no one .. as consulted, leave item Sd blank.

I TRANSCRIBE FROM CONTROL CARD j 9. Structi,ore originolly bvilt (cc 6) 12. OFFICE USE ONLY

0 April I, 1970 or later, •

@ /Month (01-12) /'(ear I 13. Lond uu code {cc 37a-d)

OR @1QA @ 101969 to March 31, 1970 >D8 .-... ................ 2 0 196S-1968 .......... -...............

3 0 1960-196'4 •DC ............ __ .. ·-.....................

•O 1950-1959 , ........ so 1940-19"9 •DO r;O 1939orearlier

•D' 10. Accen (cc 9a) ... Occuponcy 1totus (cc <!Oc)

@Y 1 OOirect @ 1 O Occupied - Skip to Section I/IA, page 8 2 0 Through another unit

2 O Vacant - Skip to Section UA, page 3 11. Typo of living q-rte•$ (cc 9b and c)

3 0 URE - S~ip 10 Sec1ion I/IA, page 8 HOUSING UNIT

@ 1 O Ho1,1se, apartment, flat NOTES 2 O HU in nontransient hotel, motel, etc. ! O HU permanent in uansient hotel, motel, etc, 4 O HU in rooming house $ 0 Mo~ile home cir trailer with NO permanent

room added 6 O Mobile home or trailer WITH one or more

permanent rooms added

; 7 O HU not specified above - Specify

• • OTHER UNIT (Treat os Type B Nooinierview)

a[!) Quarters not HU in room in& or boarding house 9 0 Unit not pe~manent in transient hotel, motel, etc.

10 O Unoccupied tent site or trailer site 11 O OTHER unit not specified above - Specif>;,-

.. o,. ......... , •• .,.,,, Pace l

..

l> ..., ..., m z 0 x l> I

(") 0 :l -:;· c (!) c.

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

I ........ PGM2 I S.C!lon llA - VACANT UNITS

J TRAHSCRIBE FROM COHTROL CARD f lo. Nu1Bbr of li"'ing quarters (CC 27a)

b. Other living quort•r• on proportp (cc 27d)

d. MHicol or dental offiu on prop.,ty (cc 27f)

2a. Numbor of dories (floon) (cc 29a) ·

l. Humb., of,_.,, (cc 30)

4. Working oloctrlc wall ovtlot (wollplu9) In 011,,_, (cc 31)

6a. Sourco of water (cc lla)

b. Type of wall (cc 33b)

:@ 1 O Mobile twme or trailer (no permanent t room anached) - Skip 10 J : 2 D One, detached from 11ny other bui ldint \._ : 1 D One, attached to one or mare buildincsfAsk b

1 -1Q2

} Sk1P!OC : s03 or 4 : sQSto9

: '0"•" : aQ20to49 Sk1pto2o

: 9Q50ormore

J@ 1QYes

: 2Q No

!<§> 1 D Yes

i 2QN0

:@ 1QYes

·-·: •ONo ' :@) ' ' ' ' : :@> ' ' ' ' :@ I@) ' ' '

:@ ' ' ' ' ' : ' ' :@> ' ' '

•Oltol-Skip10J

2Q-lto6

1Q7to l2 -1QIJormore

1 QYes 20 No

1 QYes

2QN0

•OYes 2QN0

Rooms

1 O A pub I ic system or private company - END TRANSCRIPT/ON

20An1ndividual well - Golob

3 O Some other source - S~cify- ~~i'NSCRIPTION

• O Drilled

20Du&

, ..... . . I EHO OF TR4HSCRIPTIOH t ~ Pq.• l

S.cfi~·llS:- VACANT UNITS

7o. Is this unit intended for year-round uu, for occupancy only on a 1aa1onol bosi1 or for uu by mig..,nt worbrt?

b. Is thi1 houu (aporfmenl) for ,.nt, for sale only, ranted not occupied, 1old not occupi..I, held for occo1lonol use, or 1omathlng elu?

8. How many months hu thi1 houu {aporfm..,t) been ..,.cont?

!Oo. I• it n•canory lo go thro11gh onyona'1 bedroom to gal ta a bathroom?

b. l• ii neceuary to go through onyone'1 bedroom to get ta ony other room?

11. Do .. thi1 hou1• (b..lldlng) ha,,. COlll?l•te kitchen locllit!H; that i1, a kitchen •Ink with piped waler, a rolrlgarotar, and a "'"II" or o cook stave?

12. Do .. this hou1• (b..ilding) ha,,. complete plumbing locilitie1; ti.at i1, hot and cold piped water, a flush toilet and a bathtvb or shower?

13. How 111ony complete bathroom• and half bathroo1111 d-• thh hon• (apartment) ha,,.? A co111plet• bathrffm 11 o 100111 with a flush tailet, bathl'llb or 1howH, and a wuhba1ln with piped wale•. A half bathroom ho1 at laa1t o llu1h­toilat or a bothl'llb or shower, but do .. not ho,,. all the focHlti .. for a compl•t• bathroom .

' ' ' l@ : ' : ' ' !@ ' ' ' ' ' ' ' ' ' ' ' ' : :@ ' ' ' ' ' : ' '

6 0 YEAR ROUND - Ask b Seasonal

a O Summers only ••••••••• } 9 O V.'inters only •••••••. • , • Skip to B

•O O Other seasona.I - Specrfy in Noles on page 1 ..•.

7 0 Mi&ratory - Skip 10 8

1 O Vacant - for rent Vacant - for sale only

2 O Reiular own.ersh1p 3 O Condominium ownership 4 O <":_ooperacive ownership

s O Rented. not occupied 6 0 Sold. no1 occupied 7 D Held for occasiona.I use

a O Other vacant - Specify--------

1 O Less than I month 2 O I monlh up to 2 months 3 O 2 months U? to 6 m<1mhs 'O 6 mon.ths u? to 12 monlhs s O I year u? to 2 yea." 6 O 2 years or more

:@ Bedrooms : ---0-.--,

i@ ' '

:@ : ' ' i@) : ' ' ' ' ]@> ' ' ' ' ' : :@ ' ' ' ' ' ' ' ' ' ' ' '

o 0 None - Sk•P to 11

1 OYes 20N0

1QYes

20N0

, O Yes - Ara than lociliti .. onl~ for the · uu of the intended occupants?

1 O Yes - Used for !his hoinehold only 2 O No - Also used by 11nothe1 ho11sehold

10N0

O Yes - Are then lociliti .. only for tM uu of the Intended occupants?

1 O Yes - Used for !his household only -Ask I J 2 O No - Also used by another

· household - Skip to 14" lONo-Skipto 14"

(Mor~ only one bo~) IO Com?lete ?lumbing facilities but

not in one room

2 O I complete balhroom l O l·com?le1e balhroom plus a hall bath

with no flu$h toilet • O I complete bathroom ?lus a half bath with flush toilet s O 2 com?lete bathrooms a O More than 2 COm?lete bathrooms

)> "'C "'C

~· Cl x )>

I n 0 ::> -:;· c: CD c.

)> 'C

~

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

,, ..... .. . ffctlon 118 - VACANT UMITS - Ccmthrued Se.ction llB - VACANT UHITS - Cu.tinued '

1441. 11 !hit ho.iH (bullilln<;1) con-cted too l@> 1.0 Yes - Skip ro IS (If n.trol 1ronscribe from cc item J7b. ' :@ 1 O Yes, 10 •cres or more ,.,i.uc nwor?

' zONo If urbon ask or fiU by observation.) i z 0 No, less than 10 acres b. °«!'•' .. .a~· of. HWDI• dJtpoHI dou II ho·•? l@ 19. D-• 1hl1 pion ho ... 10 oc..-1 or mo,.? 1 O Septic tank or cesspool

' z O Chemical toilet VACA.HT FOR SALE OHLY ' s 0 Privy lfthlsl~a-·. ' CHECK ' • O Use facilities in another structure

. ·;O One-t1nit structure on Ion than 10 acres and there is no commercial establishment ' 1 0 Other - Specify ·< ITEMB ' 1 . or medical or dental office on the property (Controf Card items 27e end fl - Ask 20 ' ' O All others - Skip to 270 ' ' 15. What typo of hKth11 equlp111omt doH !hit houta :@) 1 O A Cl'!lttDI wami·air hrnance with'ductl ln "

VACA.HT FOR REHT ' (aporf1Hnt) liav•f (Read am1wer catc1orles) lndlvldu•I roo1111, Cir a li9Gt pump If this is•-·

{If l!IOl'C than one, mark MAIN type of Z 0 S- or hot watar •y•f9111 ' 0 O One-unit suucture on leu than I 0 acres - Skip to 22 heatin1 equipment) IO Built-In electric u1\lt• (p•nnanently . O One-unit suucture on 10 acres or more - Skip lo 270 l,..tollH In wall, celling, •1 Msftoarcl)

• O Fl-r, wall, or plp•l•n fumace 20. WHt Is th• s•I• prlu HkH for this ....,.rty? :@Y 1 O Leu than S5,000 •O 25,000 - .. .... 1 0 Room hHt.,1 WITH flu• or Vftt burning 20s 5,000-s 7,499 "0 30,000 - H,m ,..., .11. •r •• ,. .... •O 7,500- ..... "0 35,000 - 39,999

o 0 •- hn~" WITHOUT 11,. •• _,} SHOW FLASHCARD 8 •O 10,000 - 12,499 "0 -10,000 - 49,999 burning P•, •ii, Or hros•n•

•O 12,500 - l.oll,999 "0 50.000 - 59,999 1 O f1r.,loc .. , 1ta .. 1, or portable ~k 1f7 •O 15,000- 17 ,"99 "0 60,000 - 7<11,999 ...... h.at .. s o a

'0 17,500- 19,999 "0 75,000 or more I 0 U11Lt has no h9Gtint equipment •O 20,000 - 24,999

"· How .,.ny 1-1 or• !he .. without hot.,;, duct• @) 1 O None 21. h !here a goroge or carport an thi1 prop41rty ,@.!> 1 0 Yes.} Skip to 270

er regh,.rs, rodietors, or..,_ heate11? ' 2Qlroom which 11 o•alloble for lh• uH af occupanto? ' I 20 N.o (Exclude kitchen and bathrooms) ' 3 O 2 rooms ' ' ' • O 3 rooms or more ,. Wh.at h the MOHTHLY rent? ' 170; 0001 thl1 houH (apartment) have air !@) 1 O!es or rent is not to be paid by the month, made :@s . ~ Per month condltienlng?

' zONo - Skip 10 18 tlte time period covcrrd, compute the monthly ~--------------------------------------' rent in the "Nares" space, and enter the :@ 1 C More frequently than once a month b·. DPI It ho .. o centrol olr·conditionlnt :<§) 1 O Central - Slrip to 18 monthly renl on 11tc line provided.) : 2 O Less frequently ,than once• month 1y1t•m or indivlduol room unltl? : J O Room units (Include si1e rent for mobile homes if It is : 1 C Once • month

to be paid separately,) ~--------------------------------------c. How monr ,_ 11nlh? \@) '0' : Notes ' ' ' 2Q2ermore '

11 rt.ere o Ma ... .nt Is this houH {bullding)? ' , 23. h thl• h•H (apaltlllent) ln D public housing :(!!'!) 1 CYes 11. :s 10Yes ~•cl; that 11, 11 It ewned "1 D local hou1lng

: zONo (A basement Is on encl°'rd space in wllich persons a arl!y or oth., public agency? con wollr upriif!t under oll or part af the bciildin1.J ' 20 No :('§) 10Yes ' "· la addition to rMt, does rt.o ••'-• "''° pay for -' l z O No, included in rent . .. VACAMCY STATUS (See item 7b)

a, Electricity? ' 1 O Na, elecuicity not used ·" FOR SALE OML Y ' '· CME CK O A condominium - Skip ta 20 b. Goa? :(@) , C Yes ·. !TEMA

(See Control { 0 One-unit structure - Aslr 19 . : 2 O No, inch1drd In rent ' ' 3 O No, &H not used Cord item 270) O Two-or-more-unit Structure, or a mobile home or uailcr - Slrip '" d .. FOR REMT c, Wotorf :@ 1 OYes ·' .. ~

' JO No, included in rent or no char1e .. .;., (See Control { 0 One-unit suucture - Ask 19

' ' -\:,.'. ~ ,.- Card item 270) O Two-or-mare-unit structure, or a mobile home or uailer - Skip to 22 d. Oil, coal, brotene, wood! •tc.? 1Q§> 1QYes

'"• DALL OTHERS (Other vaclnts, units rented or sold, units held for a~c;asional use, seosono!, : z O No. included In rent l'.:1i11, ·,..:: {'·~.'

(Sec items and similar units) - SJrjp ta Check /rem C, po1c 7 : • O No. then fuels nat used or obtained frn . ~- ond 7b) "0"" ...... ••·17·'"

.. o .......... "'''""

)> "D "D m z 0 x )>

I &> ~-:J

" [

" I) )> "C

~ facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

S.Cfion llB - VACANT UNITS- 4!atlftued

25. In aclditlon to rent, dou the renter 1!110 pay for gcirbage and trash colltctlon?

(See Con!rol Cord Item 270)

:@) 10Yes

! zO No

' CHECK ITEM C D One-unit structure, or a mobile home or trailer - Skip to 27a

D Tw<MJr-morl!-\lnft structure - Ask 26a

26a. DoH ti.• ownor of this building/Do yov (if spealdnc to Iha owner) 11•• on ti.It proporty?

b. Is thore o ,.thlont 111anoger, suporintendont or jonltor who lhH on thh proporty?

OBSERVATION Vo. h tho unit boortlod-up?

OBSERVATION I.. A... tf..,. ony builclln9s (otl.or thon ti.It bulldin9)

thcrt oppocr to be obondonocl ond/or ore thoro ony bulldln9t wlth windows brohn or boordod-vp on tftit ttfNt?

(See Control Cord item 27 o)

1:@ 1 D Yes - Skip .to 27a

: 20No : 3 D Don't know

' i@1 OYes

: 20 No

: a 0 Don't know

'

:@!) 1 0 Yes

: 20 No

' j@10Ye.s

i 20 No ' ' :

CHECK· .ITEM D

O One-unit structure, or a mobile home or trailer - End AHS-2/ntorvlow and po to Control C1mJ /tom 39 •

O Two-or-morl!-\lnit structure - Ask 280

OSSERVATION 280. Do tlM poblic hollt in this bufldln9 ho•o

ll9ht flm.r .. ? ,

b. Ato tho li9ht firluros In -ritin9 order?

290. Alo thore looH, brokon, or mlnin9 st.pt on ony con1mon stolrwoy1 lnsldo thl1 buildln9 or 11nochocl to ti.it buildi119?

lo. An oll •tolr roilln9s flrmly crttochod?

OBSERVATION - Fill for 2 or more unit structures How m11ny 1torlH (floon) oro ti.or• from tho moin •nlrot1CO of tho building to tho 1noln ontronco of tt.o 11portlllont?

i@10Yes

I 20N0 ......... } i aONopublichalls Skiptol9o

' :@ 1 D All in working order

' ' ' ' '

2 D Some in workinc order

3 0 None in working order

:§10Yes

' j 2QN0

' ' a O No common stairways - Skip to 30

:@1 OYe's

' : 2QN0

' '

30 No stair railings

1~ 1 0 None, on same floor }End A.HS..2 fnt.rvl•w : z D One (up or down) crnd ~ lo Control : 1 D Two or more (up or down) Cord hem 39 · ' ' ' '

Pqe 7

I.

@)

''· • ' ~c .-• 0

:J~

+ M

~ u ~

~

S•ctlo11 lllA- OCCUPIED UNITS (lncl11Je URE} '

I TRAHSCRIBE FROM CONTROL CARD I Lin• number of ho11 .. hold rupond..,t

I .

(cc 10)

" HOUSEHOLD CHARACTERISTICS Undut/o URE's only if •nll•• houulio/J is URE)

2b. Relotlonship to 2c. Ago 2d. Morin.I 1totu1 (For persons 2e. Roce houuhold head (cc 14) , U+) (cc IS) (cc 16) (cc ! I b)

1 - Ma,.led .f - S91>aNte4 1 - Wltl••

OFFICE 2 - Widowed S - Never ma .. 1..i 2 - Negro

"'' 3 - DIYO•ud 3 - Other

ONLY ENTER CODE ENTER CODE

I I I I I I j I . I

I I I I I I I I I I

.. I I I I I I I I I I I I I I .. .. I I I I I I

2f. s .. (cc 17)

CIRCLE ONE

~" Female

I 2

I , I , I , I , I , I , I , I , I , I , I , I , I ,

., , I , I 2

I , I , I , 1. ,

)> -0 -0 m z c x )>

I (") 0 ;:( :;· c: .. c.

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

r~ PGM 2 I

> .,

" . ' Section lllA - OCCUPIED UNITS (lnclu<lo UREJ - Contl1111H

:~1~~. ;) '..-J. . r~ -~ •, TRAHSCRIBE FROM CONTROL CARD : 3. Highest gf11do complotod br hcid (cc 19) :@) o O Never attended school

1 O Kinder&arten e 0 Seventh '•. 2Q First g 0 Ei&hth

~ O Second 10QNinm_; •0 Third 11QTenth· sO Fourth 12QEleventh oQFifth 1'Q Twelfth 7QSixth

College (Academic years)

i.QCI 11Q C4 1sQC2 1aQCS 10QC3 19 O C6 Of more

.. Erhnic origin (cc 20) @) 1 O Mexican-American 2 O Chican_o 3 0 Mexican • O Mexicano 5 0 Puerto Rican

6 O Cuban 1 O Central or South Ametican a O Other Spanish - Specif'

' 9 0 Olher - Specify .,

" . 5. WI.on hHd moved in (cc 21) ' ·'' : Aher April I, 197~ : - '

... ' i ,~ .. '.~(01 12) /y,., I 1'(§) . ' ' ' ' '

OR

!@ , D "" oo "''" r. ""} : 2Q 1960to 1964 Ski 8 ' 3Ql950tol959 PIO ' • 0 1949 or e;ulier ' '

" Whore hHd 11-d on A,.ril 1, 1970 (cc 22) ' County

... ~ OR

@) o O Outside the United Statu - Skip to 8

Pap9

Section ill.A.:. OCCUPIED UNITS (lnd11cla UREJ - Coatlnvad

I TRAHSCRIBE FROM COHTROL CA.RO I 1. Haad li .. ad ln1lda th• llml11 of o city, town, loorough

ar Yillo~ (cc 23)

8. H•od in A.nHd ForcH on April 1, 1970 (cc 2~)

9. T•nur• (cc lSa)

lOo. Wliy no cash renl (cc l6a)

lo. Ty,- of jolo (cc 16b)

i@ 1 O Yes - Name of plac~

' ' ' ' ' ' ' ' ' ' ' ' ' '

20N0

i®ll I I I I I i(§) : ' l@ ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '

1 OYes

20N0

'D °""'" "'"' "°"'" } 2 O Owned or bein& bou&ht as

a cooperative

3Q0wnedorbein&bou&htas Skip to/lo a condominium

'O Rented for cash by you or someone else

s O Occupied without payment of cash rent

\@· 1 O Provided by job

: • 2 O Provided by friend or relative} : Slcip co I lo : 3Q01ht:r ...•••••......•

' ' ' '

Farm relaU!d

i® ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' ' '

1 O Tenan1 farmer(rent in crops and/or livestock)

2 O Farm mana&er

: . ' ' ' ' ' '

3 O Farm laborer or farm foreman

4 O Other - Specif~

s O Nonfarm related .

.

> ..., ..., m z 0 x > I bl ::J !:!'. ::J c: ~

-1 )>>

'" ~ Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

. S•ctlon lllA-OCCUPIED UNITS (ltiefuJ• _URE} - Continued I S.<:tio,; 111 ... - OCCUPl!;D _UNIT~ (lnd11d• URE) - Contlnu•d

f TRANSCRIBE FROM CONTROL CARD f \ TRAHSCRIBE FROM COHTROL CA.RD \ ,

Ila. Numb., of 11¥11111 quorters (cc 27a) :@ 1 O Mobile home or trailer (no permanent room ouac:hed)

, 0 o,., "~""" f<om ~, o<h~ "'""'' r·" " 'O One, attached to one or more buildin.cs I Id

: B ~ ~,·'4·: : : : : : : : : : : : : : : : : : : : : r~t to

•0'"' } 7 o ro 10 19 aOlOto.., Skiptollo ,

g O 50 or more

b. Anchor..! mobile homo (cc 27b) @10Yos : zONo

' JD Don't know '

170. Sourc• of wotor (e<: Ha) I@ 1 O A publk system or private company -Skip to/Bo I z O hi irw.IJ .. idual well - Fill 17b l J 0 Some odler source - S~cifr - Skip 10 /80

' ' ' ' b. Ty ... of well (cc Hb) \ €!!> 1 O Drilled

: zO Due

O Two-ormore unit stn1cture - Skip to 19 i~ 1 O Yes, all windows 18a. Storm wind-• (CC l4a) t z O Yes, some windows

i J0No ' '

c. 111 group of 6 or more mobile h.omo1 (cc 27c) i@1QYes} Skip to 120 \ zONo

cl. Othor llvlng quortort on prap .. ty (cc 27d) i@1QYes l zO No

' .. Co ...... orciol Htobll1hm ... t on propo11'y {cc 27a) :@1 OYes

J 20N0

Ii. Si.,. doon (cc )<lb) J@1 0 Yes, all doors \ z O Yes, some doon

' J0No ' '

<:. J..nlc or roof lntvlo!IOll'(cc )4c) i(§}10Yes I zQNo

' J 0 Don't know ' '

I. MHlcsl or dontol offlco on property (cc 27f) :@) 1 QYes} Skip lo /Jo \ zQNo

O Rented for cash or occupied without ' l@•OYes p•yment of c•sh rent - Skip 10 20 I zONo 19. Garage or carport oYOlloblo (cc 35) ' 12G. YMr -bile homo (trailer) ocqui,.d (cc 28a) ' l@.> " '

b. Molillo ho,.o ltroller) n- w!i ... ocqulr.d {cc 28b) :@1 OYes J 20N0

20. Cookin9 fMI (cc 36) : Gas--..... 1@) 1 O From underiround pipes servinc : the nei"1borhood 1 z D Bottled, tank, or LP I a O Electricity

<=• ~vrchou prlc• (cc 2Bc) ' ' \@) $ • ~ Purchase price} Skip ! o O Not purchased to 14

Ila. Na.,b•r of uorin (11-1) (« 29•) I@ 1Otto3-Skiplo14 l 20<lto6

' J07tol2 ' ' 401lormore

'

' • O Fuel oil, kerosene. etc. ' ' s O Coa.I or coke ' ' II 0 Wood

' 1 O Other fuel ' ' a O No fuel used ' :

21. UH of tolophono (Cc lBa) i@:>10Yes : 2QN0

' lo. Po11•11g•r •lo .. otor (<=C 29b) \@1 OYes : 20N0

1~ Nvmb•r of rooms (e<: 30) ' ' :@ Rooms

'

(See· item 7, page I) CHECK 0 O Recular interview - Go to Seciion lllB, pe11e 13 ITEMA 0 URE interview - END TRANSCRIPTION

NOTES

1~ Working •loctric wall outlll't {woll plug) 111 J@10Yes H<=h room (cc JI) l zONo

16. ConcHl.d wiring (<=C 32) \<§> 1 O Yes J 20N0

.. o .............. ,, ... , FOR" ........ O••O 7>'11

)> "ti "ti m z 0 x )> I n 0 :::t

'"" :::t c: ~

)> ,, ~

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

Section 1118 - OCCUPIED UHITS ' Section HIC - OCCUPIED UHITS (lncliu/e UREJ

I TRAHSCR/BE FROM S•ction V, Pa"• 37 I 820. H.ad hod a job lou w••k i@ 1 OYes

' 2 0 No - END TRANSCRIPTION ' ' ' b. H.ad's principal means of tran1portation to work ' Car, truck or carpool

!C§ 1 0 Drives alone. ...... ' 2 D Shares driving (carpool) ' } "" ' s D Drives others ...

' IO 82d ' 4 0 Rides with someone else ' ' s D Walks only . ....... ' ' 0 0 Works at home - END TRANSCRIPTION

' ' 7 0 Railroad

' ' e 0 Stlbwiry or elevated ' ' 9 O Bus or Stret:tcar ' ' 10 D Taxicab ' ' 11 O Bicycle or motorcycle ' ' i 2 0 Other means - Specify '

Mork o!l 3 ports (See cc 21) (I) Household head I ived

@) CHECK

here lase 90 days ••• .. .. .... 1 OYes 20No {2) Household head lived

ITEM A here last winter. @ 1 QYes 2QN0 (3) Household head moved here

@) during the last 12 i;iondis .... 1 OYes zONo

35. How many bedroamt do you have in you, hou .. (aporlmentl? Count room• uud moinly fo• !@ sleepin11 •v•n ii uoed for other purpoHs. Bedrooms

OR . O O None - Skip to 38

l6o. ls It necessary ta 11• throu11h anyon•'• i@ bedroom lo get too bothroom? 1 OYes

' 20N0 . ' b. h ii n•ceoogry to go 1hrou11h onyone"1 '

b.droom lo get lo any other room? !Q 1 0Yes

' 20N0

' (See cc lie) Oo not count persons with usual residence elsewhere unless entire household •s URE. c. Car 'uHd In jou"m97 to wo .. i@ 1 OYes

' 2Q No

'

CHECK D Household has I or 2 persons - Skip to Ja ITEM 8 O Househcld has 3 or more persons - Ask J7a

d. Time from home to work !S 1 D Under IS minutes

' 2 O 15 to 29 minutes ' ' s D 30 to 44 minutes ' ' • O <15 to 59 minutes ' ' s O I hour to t hour 29 minutes '

370. Are ony bedrooms 11ud for slHping by

!@) D Yes - How many bedroom• ore 11ud fgr •l••ping 3 or more pe,.ons? ~y 3 or more person•? .

1 D I bedroom

! 2 D 2 or mere bedrccms

1QNc - Skip toJ8

' a O I h<M.1r and 30 minutes or more ' ' 7 0 No fixed·place of work ' ' -

b. Are 011y of th• P•rsons who uu thl• b•droom !@ • OYes {th ... bedrooms) ll yeor1 of oge or old.r?

' zONo ' ' •· One-woy distann from ho111• to worlr. l@) 1 O Less than I mile

20I to4miles

t05to9mi1es

38. Do you hon complete kitchen fc.cilitiH in thit ' hou•• (b11ildi1111); that i•, o •itchen 11n• with :®) 1 D Yes - For this hou$ehold only piped we1ter, o refri11•rotor and o ron11• or G 2 0 Yes - Also used by .another household coohtove? 30No-Skiptoof0

• 0 10 to 19 miles

o 0 20 to 29 miles

• 0 30 to 39 miles

]9o. A.re the .• itehen sin•, refri11•re1tor, 111nd (§) 1 D Yes - Skip to Check llem C rGllll• or coohtou 11111 in usabl• condition? 20N0

7 O '40to"9 miles

a 0 50 miles or more

f. AllCllOn for llvirtg 5 or mor• milu from worlr.

b. Which of the it•m• ore 11ot in uHbl• ' ® condition? 1 D Kitchen sink }

(Mark o!I that apply) , 2 0 Refri&erator Skip to Check Item C 1 D Ranie or cooksta~e

' (1) If only one ''Yes .. marked in item I Ob Of con @) ---- Reason number } f!ND P11te 39, transcribe that reason number. TRANSCRIPTION

(:l) If two or more '"Yes" boxes marked in 20 O No particular reason

.. Da yo11 have piped water - i§> • D Yes - Skip to Check Item C g. In thl• bulldin11?

' .zONo ' Item I Ob or e., transcribe reason number from

Item 11 on paie 39.

(J) If no ""Yes" answers in item IOb or c, mark box 20.

' b. AvoilGble within 1/.C mil•? :@ 1 OYes} Skip to 4Sb

' .zONo ' ' ' ~o ............. ,,.,.,

Pqe i.

)> -c -c m z 0 x )>

I n 0 :J -:;· c: ~

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

- S•ctlon lllC- OCCUPIED UNITS (ln<:linle URE) - Cont1n1,.·d

CHECK ITEMC

, I Household head lived here last 90 days {See Check /!em A(/), page /4)

D Yes - Ask 4/o 0 No - Skip to 42

410. At onil! ti.,• in th• Int 90 doy1 w•r• you :@> 10Yes COM LETELY without running wot•r?

' z O No - Skip to 42 '

b. W•r• you c.111pl.tely wirilout running wot•• l@ 1 QYes for 6 cot1••cutl"'• houri or 111oro?

' zQNo ........ }

' i 0 Don't Ir.now Skip to 42 '

c. How -ny ti•H? i@ ,DI

' >D2 ' 1Q3ormore '

d. What wu th• (1110U common) ...,.on yDu w .. o j@ 1 O Inside - Specify prob/e~ o;o,,.pletoly without wotor for 6 co11Hc11tln hours

' or more - wu it bocouH of prolilnu hllide tho ' building or probl..,.1 ouhido tho building? ' ' z O Outside - Specify prob!e~ ' ' ' -' ,. Do you ho ... c°"'ploto plu.,bing facilitin in :@ 1 O Yes - For this hoosehold only

thi1 hou .. (bu1ld111e); then h, hot oMI cold : B ~:s. ~ .".l~o. ~s.e~ .~ .~~~~·.~~e~~'.d}:!~Sa pipH wot.r, o flu• toilet ond o bathtab ' ' or 1how .. ? ' "· How -ny c-plet• bothr-• ond ball ' (M:lrk only one bo•)

both-• do you have? \@ 1 O C011!f11ete plumbine facilities but A camplete l>athr•- 11 o ._with a '

not m one room flHh toilet, bathhllb or 1how•r, ond o ' >DI complete bathroom WHh!xi1la with plp.d wot.r. A half ' JO I complete bathroom pl1.1s a half bath ' both.- hoa al lec11! a flnh toilet or ' with no fl1.1sh tDllet

' o bothi..b 01 1how•r, but do .. not hove ' • O I complete bathroom plus a half bath oll tho focilltlH for o cD111plete bothroo111· ' ' with fl1.1Sh · tGi let Skip

' 'O 2 complete bathroDms t11-4So ' ' 15 D More than 2 comp I ete bathrooms

-~ CHECK I Household head lived here l15st 90 days (See Check Item A{I ). pore 1-4)

,ITEMD ' OYes-Ask'4'4o D Nr;i - Skip 10 45o

""°' At any ti•• 111 tho 1011 90 da,1 wn thoro ci i<® 10Yes breakdown 111 your fluah tollet; thot is, wa• 2 O No - Skip tr;i 45o It complet.ly u11usable? '

b. Old Olly of tho .. breakdowH IHt 6 conHCutivo !@ 10Yes hoors or more?

' 2 O No - Sl:l1> to 45o

' c. How mDlly of thu• b,..,;ikclowu wore there? :@ ,D1

' >D2 ' ' •D l ' •O~ormore '

d. What woa th• (most common) r•aaon you w•r• i@ 1 O Inside - S1>ecify proble~ carnplotoly without tho uH of your flush toilet for 6 conaecutlve houri or more - was'it : bocouH of problem• lnalde th• building or ' probl •1111 oirllldo tho buildln9? ' 2 O Outside - Specify proble~

' ' ' ' .. '

Soetlo11.lllC - OCCUPIED UNITS (Include URE) - Continuod

450. 11 this house (building) connectod too public Hwer?

lo. What meoons of Hwog• diapotol da you uH?

i@ 1 0 Yes - Skill' 10 Check Item E I 20 No ' :<§> ' ' ' ' ' ' ' ' ' ' '

1 0 Septic tank. or cesspool

2 O Chemical toilet. . . . . . . . . . . . . } sO Privy •. , • • • • • . • . • • • • • : :

• O Use facilities in another strucwre. . . Ski I> s 0 Other - Describe / to 47

•

CHECK ITEM E

Household head lived here last 90 days (See Check Item A(/), i>are 14)

QYes-Ask.Oo 0 No - Skip IO 47

"60. At ony time in th• lut 90 day• wa1 thHe o b<eokdown in your public Hwer (uptic tonk or conpool); thot i1, woa it complotoly unu1oblo1

b. Did ony of thou breo.downa Int 6 conucutlvo hours or more?

c. How mony of theH bt11C1kdowna wer• th•r•?

47, How is your houH (aportment) hootH - by 9oa, oil, electricity, or with 1omo other fuel?

"8. Whot type of hooting oqulpm.,..t doe1 your houu {oport111•nt) hll"ve? (Read onswer caieeories) (Mork heotinf equil>fl!l!nt used most)

:~ ' ' :@) ' ' ' ' ' :@) ' ' ' '

1 O Yes 20N0-Ski1>to47

1 D Yes Z0 No ..... sO Don"t lcno"'

•DI >D2 sOJormore

··}Skioto47

t Gas------.

i@ 1 O From underero1.1nd pipes servinc 1 the neiehborhood

I z D Bottled, tank. or LP i· 3 0 Fuel oil. kerosene, etc. 1 • D Electricity

: s D Coal r;ir coke : tiOWood I 7 0. Other fuel

i a O No fuel und

: ~ 1 0 A control wo..,·olr furnace with ducta in : indlvldirol .-., or o hoot pump

: 2 0 Steam or hot water •y•I-

' ' ' : ' : ' ' : ' ' ' ' ' ' ' ' ' :

3 0 Buih·in •lectric unlll (por .. on ... tly Installed In wall. ceiling, or boHboor<I)

4 0 Fl-r, wall, or plpelna furnace

s D R-m hooter1 WITH flue or vent burning 9a1, oil, or keroa•n•

6 0 ROOlll heote11 WITHOUT lluo or } vont burning gu, oil, or koroaen• Skjl>

. to Check 7 D fHeplacea, nave•, or portable Item G

room heotero

a 0 Unit ho1 no hHtfng oquip111enl - Skip to SJa

J>

" " m z 0 x J> I n 0

" -:;· c (I) a.

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

Section lllC - OCCUPll!D UHITS (lnclu<I• URE) - Contlnuitd

,, .. ', .. Houu!hold head lived here LAST WINTER (See Check Item A(1), po,-e 14)

CHECK OYes -Ask 49 ITEM"F.

ONo -Skip to SO ,- ~ . .. ' '" ... During th• wint•• of, •• (year), wh•n your r•gulor j@) 1 0 Yes

heating 1y1t..., was working,.dJd you, al any tim•, ' z 0 No hov• to·., .. odditionol 1ourco1 of hoot becouu your ' Ngular 1y1!..., did ""' provido enough hfft? Do not ' ' includo additional 1ouru1 of hoot us..! Hloly ' l...:ou.o of tloo cu,..,,t ..,.l'\'IY 1hortago. (Additional 1

sources of heal moy be the kitchen stove, o fireplace,: or o portabfc heater.)

11

... How .,any ,....,, do you hovo widiout hot 11ir ducn :@ 1 0 None or, r-;htors, r<1dlC1tor1, or room h..,tor1?

' 20 I room {Exclude kitchen Ond bathrooms) ' l02rooms ' ' 4 0 3 or more rooms ' ' ' ' . ' .. ,. ~ -

Ho1,1sehold head lived here LAST WINTER (See Clleck llem .A.(2). page /<f) ..c., c~-EcK ~ O Yes - .A.$k Slo

'4--··1TEM-G '"' ~y 0 No - Skip to 530 ;,..~:~::,~·· ~- ~ 51 ... At any tlm• during th• •int., of ••• {yHr), woo 1@> tOYn

th•,. o brnkdown In your heating ..qulpm•nt; that ' z O No - Skip 10 52a it, •OI lt compl.t•lj unusobl• for 6 con10cutlv• ' hour• o~ mor•? ' :

b. How mony tir•H did th111 hOJlp.n? I@> •DI ' •D2 ' ' •Dl ' ' 404ormore ' '

520.0

During th• wlnt•r of ••. (year), did you compl•r.ly i€?.l •OYes clo•• c•rtaln rooms for ow••"- or long•r bocouH you couldn't got th..., worm? Do not Include roo11t ' zONo-Skipto5Jo

' clued 10loly for tho purpoto ol 10vlng fuel duo to ' tho current """"VY thorf<lg .. (Include kitchens ' ' ond botl!rooms) ' b. Which too••? :@ I 0 Livint fOQ<ll

(Mork oll 11101 apply) ' . z O Oinint room ' ' ' s O One or more bedrooms ' ' • O Other - Specjfi ' ' ' ' 53a. Doyau hovo air conditioning? i@ 1 0 Yes

' z 0 No - Skip to Check /!em H ' b. Do you hon o control ai,..conditionlng tyo..., I:@ 1 O Central - Skip to Check Item H

or individual ..0111 units?

' z O Room units

c. How many room unit• do you hov.? \§ •DI ' zQ2ormore :

S.ction UIC - OCCUPIED UNITS (/nclu. URE) - Conllnuod

CHECK ITEM H

Household head lived here last 90 days (See Check Item .A.fl), po1e 14)

OYes -Ask S<l'a

0 No - Skip to SSo

5.fo. Have any •l•ctric fuus or br ... kor 1wltchH lilown In your hou10 (oportm•nl) In th. la1t 90 doyt?

b.. How many th11H dld this hopp.n?

SSo. DoH Y""' houu (oportmont) hove gorbog• co11Kllon Hrvlco (oith., public or prlvofo)?

c. How do yo11 d1spo10 of your gorbog•

f/f more thon one method used, mark (hi! one •.1sl!d mos1.)

56o. I, tl.oto o bot-al in thi1 hou10 (bulldlng)? f.A. bosemenl is Oii enclosed spoce Jn which persons con walk upri.efit under al/ or port af the building.)

b. Does ltio basement thow any 1lgn1 of wotor hovlng too•od in lrOlll tl.o outlido?

57. Do .. !ho roof of this house (llulldlng) look?

580. Does thl I ha11u (opo.-nt) hove op on crocks OI'

holH in tho intorior woll1 or collln11? (Do not include hairline crads)

b. DoH tl.11 houH {oportmont) hove holH In th• lloort?

590. ls thoto any oroo of brohn pl01tor on tho coiling or lntldo woll1 which is lorgor than ti.It ploc• of paper?

(SHOW CLOSED OUESTIOHHAIRE)

b. 11 thoro any or.a of pooling point on tho coiling or l111ldo wolh which is lor11•• thon thit plK• of popor?

(SHOW CLOSED OUESTIOHHAIRE)

:@> ' ' ' '

i® ' ' ' :(@) : ' '

:8 ' ' ' ' ' ' ' ' ' : :0 ' ' :~ ' ' ' '

i© ' ' :

10Yes zONo.: .... 1 O Don't know

'DI •D2 sOJ or more

10Ycs zONo · · .... s O Don't know

} Skip to 55a

} Skip to SSc

1 O Len than once a week 200nceaweck .......... } I 0 Twice a week .... , , , .. • 0 Three or _m()l'e times a week s O Don't kn- ••• • •••••••

1 O Incinerator z O Trash chute or compactor s O Garbilr;e disposal • O Carry out to be picked up s O Other - Specify-I-

10Ycs zQNo-Skipto57

10Ycs 2QN0 sO Don't know

1QYn zONo 10 Don't lcnow

l@ 10Yes 1 zQ No

:(@) 10Ycs

' zONo ' i(§) 1Q'l'es

' zO No ' ' ' [@}) 1 QYes

' zO No

' : P11• 18

Skip to S6a

l> .,, .,, m z 0 x l> I n 0 a :;· c: CD c.

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

y ·,-;\.<• ,"S.ctlon·i_ilC ..:·Oct;UPIED-.UM!TS Undiitl• URE)-. CntlnU1td · 'f ' ' ,, '

"t'~Ecl~~\ O If "Yes" was marked to any of the six previous questions 56b, 57, SBa, 58b, 59a, 'and/or 59b - Ask 60

~;1~~'U O "No" marked in all of ttie above Items - Skip to Chee.Ir Item J 60, h •• • (Specify the condition(s) mentioned in ony of :@ 1 OYes

the six previous questions) 10 objectionoblo that you wo11ld llh to mou from this h0\1u? ' 20N0 ' '

,o CHECK Household head lived here last 90 days {See Check Item A(/), Pcige I.fl

ITEM J 0 Yes -Ask 6/o

·'· O No - Skip to Check /tern I(

6111. At any limo In rho loot 90 days hovo you, .. ., any l@ 1 OYes mice or rotl, or 1lg111 of mlco or rots in thi1 houH (b11ildi119J? ' 2 0 No - Skip 10 Check Item J<

' ' b. Is this houH (building) urvic•d by on oxlorminator :(.§) 1 O Reiularly

••gularly, only wh•n n••d•d, i<1•gulorly, or not ' i 0 Only when needed at oil? ' ' i O Irregularly (Include only ex1ermino1or service for mice or rots) ' ' : •ONot at all

TENURE (cc item 25a) ,o 0 OWNED AS A COOPERATIVE - Skip to 80

CHECK 0 OWNED AS A CONDOMINIUM - Skip to 63 ITEM K OWNED OR BEING BOUGHT IS . 17 'i{ 0 One-unit structure, or a mobile home or m1iler -Ask 61

ee cc 1tem 0 0 Two-or-m01e-unil Stt\ICture - Skip lo 80

' RENTED FOR CASH

(Sec cc item 1701{ O One-unit stnict~rc - Ask 62 , .. ::.. 0 Two-or-more-unit Structure, or a mobile home or trailer - Skip to 71

' 0 OCCUPIED WITHOUT PAYMENT OF CASH RENT - Ask 62

(If rural transcribe from cc item 37b. :C® 1 O Yes If urban osk or fil! by observotion.) 62, Do .. this pion I.av• 10 ocr•s or mo .. ? ' zO No '

' (See Check Item K)

(HECK OWNED OR BEING BOUGHT

ITEM L lf1hisisa-

' O One-unit structure on ln1 than IO acres 8lld there is no commercial

establishment or medical or dental office on the property (''No" in Control Card items 27c and f) - Ask 63

O Mobile home or trailer on lu1 than I 0 acres - Skip to 64<1 0 O All others - Skip to 80

RENTED FOR CASH lfthisisa-

O One--tJnil structure on IH1 than 10 acres -Skip 10 71

," O One-unit structure on 10 acres or more - Skip to 80

OCCUPIED WITHOUT PAYMENT OF CASH RENT lfthisisa-

O One-unit 5tructure on l•ss than 10 acres - Skip to Check Item N, poge 23 O One--tJnit structure on 10 acres or more - Skjp to 80 D Two-or-more--tJnit structure, or a mobile home or tr~iler - Skip to Ch"k Item N,

page 23

6l. How mucl. do you ti.Ink this prop .. ty, ti.at Is, h.,.. .. and lot, would ull for on today's mork•t?

SHOW FLASHCARD B

(See Control Cord jtem 250)

I~ ' : ' ' ' ' ' ' ' ' ' : ' ' ' ' ' ' ' ' ' ' '

1 O Less than $5,000 ios 5,ooo-s 1,499 30 7,500- 9,999 •D 10.000- 12,499 so 12,500- 14,999 &0 15,000- 17,"99 10 17,500- 19,999 • O 20.000 - 24,999 !I 0 25,000 - 29,999

10 0 30,000- 34,999 11 0 35,000- 39,999 1zo 40,000- 49,999 13 0 50,000- 59,999 ,. o 60,000- 74,999 1 s O 75,000 or more

CHECK ITEMM

0 OWNED AS A CONDOMINIUM - Skjp to 80

O All others - Skill to 6$

6'o. Do Y"" own ti.• 111obll• l.o.,,• (or !roil••) SITE .., i1 it rent..!?"

b. What is the MONTHLY r•nt f« th• •It•?

c. Do you I.av• on lnstollm•nl loon or contract on ti.is mobile l.otn. (or troil•r) or do you own it lrH ond clear?

65. Do you hove o mortgog•, d••d of trust, o• land contract on ti.is p•o1>9rty, or do yo" own it Ir•• ond cl•or?

660. In regard to the mortgog• (loon), whot Or• ti.• r•quir•d payments to ti.• l•nd•r? If mor• thon on• mot1gog• (loon) on ti.ii pro1>9tly (mobil• I.om• or !toil.,). giv• sum al paym1nt1. (If there ore sepdrote foons on the mobile home ond its site, combine omounts.)

' ' ' [@

i@ ' ' ' ;@ i@ ' ' '

1 O Owned - Skip CO c 2 O Rented - Ad b

o O Occupied without payment of cuh rent

----·~ 1 O lnstallmen1 loan or contract - Skip 10 66a 2 O Owned free •nd clear - Skip to 670

1 O Mortgage, deed ol 1rus1, or land contract z O Owned free and clear - Skip 10 670

----·~ PER,

1 O Month ,.. 20Year O Other - Specify

b. In r•gord lo the rziortgog• (loon), do th• r.quir..d :@ 1 0 Yes payments includ• - 1 0 N ' , ' Ql~.!'!.1_.~!.".!!.!."!'.!!.~~!."J!..l!~!!t!1_? __________ ~---------------------------------------(2) Fir• ond ho1ord in1uranc1? :@ 1 0 Yes

: 20N0

c, (I) Wl.ot kind of mort9og• do you hov•?

SHOW FLASHCARD C

\@ 1 O Federal Housing Administration} 1 2 D Veterans Admininration Skip io 68 : 3 O Farmers Home Administration : O None of the above -----------------------------------y---------------------------------------

(2) Is yaur mortgage privately Insur..!? Do not count 1 {!!!) 4 D Yes } borrowers life inllf•onu.. j 5 D No S~ip fO 68

(Privoce mortgoge insurance insures che lender if the : s 0 Don't know borrower foils 10 keep up his mortroge payments.) 1

:

)> ,, ,, m z c x )>

I n 0 :a :;· c: ~

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

. SK.tlon lllC - OCCUPIED UHITS (l"duGo UREJ - Continued

670. Did you pion or onumo o mortgogo (loon) whn you acquirod thh property (mobilo home)?

lo; How did you acquire thi1 property (mobile homo)?

:@ ' ' ' :@) : ' ' '

10Yes-Skip1068

20 No

1 O 1nho:rit.ance or tift

2 D Paid all cash

l D Other manner - Specify•--------

68. Do you pay far - 1@ 1 O Yes

0, (1) E1octrlclty? : 2 0 No, elect1icity nol used - Skip lo b{I) ___________________________________ J ______________________________________ _

' (2) Wloat ii tha 11-ro90 MONTHLY co1t? i@ · ~

b. {1) Got? :@ 1 D Yes

I 2 O No, ias not used - Skip to cO)

' -----------------------------------~---------------------------------------

' (2) Whot L1 tho av.,.a90 MONTHLY co1t? i@ ' ~

c. (1) Oil, coal, kero1..,•, wood, •tc.? !@ •OYes

' ' . ' 2 0 No, these fuels not used or

obtained free - Skip to di/) ___________________________________ J ______________________________________ _

(2) What It th• YEARLY cotl?

d. (1) Fire ond h;1ord ln1uronco? (Also include if ~rl of mortgaie poymen1s.)

' ' :@) ____ .rnru ' :@ 10Yes : 20No-SkiPtoe(t)

-----------------------------------~-----------------------------------~---' ;@ , _____ . rnru

(2) Whot 11th• YEARLY cot!?

•· (1) Rool Htot• toJ101? (Also Include if :@ 1 D Yes ~~ of mori101e poymen11.)

1: 2 0 No _Skip to f(I)

-----------------------------------~---------------------------------------' (2) WMt It th• YEARLY c:Ht? (Do no! include 1 £.:;';\ • UiJ !Cius in orreors from previous yeors.) i \!.!,!.I $ -----

f. (1) Wot•• ond 1owag• dl1po1ol, Hpcuotoly Ira. rool Htoto taJ1H?

:@ 10Yes

' ' ' ' 2 O No or p&1yment included in real

estate talles - Skip to r(I)

---------------~-------------------~------------------------

(2) Whot h tho YEARLY cott? i@ • ~ i@ 10Yes I 2 O No or payment included on real l estate taxes - Skip to 690

g. (1) Garbage ond tro1b coll•ctloa, Hporotoly 1,.. Rill Htofe taHt?

-----------------------------------1---------------------------------------, ' :@) (2) What it th• YEARLY CCIII?

___ ,[il ' Pll1• ll

Section lllC' OCCUPIED,UHITS (lncl...f• UlifJ.2.'._CO'nfi.iOril~ s-

690. Durln<;1 th• pa1t 12 "'onths - i@ 1 OYes (I) W•re ony ocldition1 mod• to your prop•rty tuch 01 o room, baHmont, porch, 0•<;1oro<;11? ,1 2 O No - Skip to b(I)

------------------------------------~--------------------------------------(2) Did ony job cot! $100 or mor•? :@" 1 0 Yes

' ' ! 2QN0

b. (1) Hov• ony alt•rotlon1 b .. n ..,..d. to your 1

property such ot Hmod1lin9 th• kitch•n 1

ar a bothrao111, ln1tollln<;1 wolkt, driv•woy•, :@ I 0 Yu

:::::~, ",';;:b~r~;owt or doors, or plontlng i 2 O No_ Skip to c(I) _ ___________________________________ i _____________________________________ _

(2) Old any job Cott $100 or moH? !@ 1

0 Yes

: 2-,-, No

c. (1) Hav• you had ony ,.plau111•nt iob1 on your / property such u ruurfoch19 th• roof ar 1

:':'r9:pi..ocli1:; ::p11:::~i:;~;~:dol.::::;,pouh, ! •l•ctricol, or plu111bln9 oqulpm•nt? (Do Ir,:::., not lncludo opp11oncH such 01 clothu : ~ 1 0 Yu wothor•, r•frl9•10)tor1, window air : 2 0 N• _Skip" d(I) condltlon•rt, •tc. 1

------------------------------------L--------------------------------------(2) Old any jol> cost $100 or mor•? !@ 1 0 Yu

: 2QN0

d. (1) Hav• you -d• ony repairs Ol'I yoar property Ir.:::.. ouch ot pointln<a or poperin<;1 a roo.,, 01 I~ 1 0 Yes patchln<;1 a driveway or brok•n loon? : z 0 No - Skip to 700

------------------------------------1--------------------------------------(2) 0id ony job cott SIOO or more? - \~ iOYn

10... In tho noltt 12 monrl11, do you ploa to moko ony odditlont, 11heratlOt11, roploc•menh, or repol11 of tho type I jult osked yoa obout?

b, Do Y°" Hpoct ony \o_b to cott $100 or "'or•?

71. wt...111 tho MONTHLY 10111? /If rent is not poid by the month, mart the lime period covered, compute MONTH I. Y rent in "Notes" spoce. ond enter monthly rent on the line j)r0vid1d.) {Do not Jnclude site rent for mobile homes if 11 is paid separately,)

: 20N0

)<9 ' ' ' !@

10Yes zONo •.••. } 1 O Oon•t know

Skip IO 80

' ' ' ' 2QN0 •• ,.. Skip to BO •OYu .... }

' '

1 O Don't know

!@ . ~Per month , _____________________________________ _ :@ 1 QMore frequently than once~ month / i D Len frequently than once a month

: 1 O Once• month r--------------------------------------· : Notes

' ' ' ' ' ' ' ' ~ Paa•ll

)> ,, ,, m z 0 x )>

I n 0 :J -:r c (!)"

a.

)> ,,. ,,. ~

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

Sectiea me - OCCUPIED UMiTS Clncl.J. UREJ - c-1~

(; ~. ·. ' . /See Conuol Card item 270) ) , CHECK >·ITEMN

O Mobile home or tr•ile1 - Ask 720

O All oth_ers - Skip to 73

J.. Whot Is th• MOMTHL Y ,..,,, for tho tite?

c. Is tho 111• ,..,, lnc:lud..! with t\oo .. nt for the .... bile"°"'•?

73. h thlt houH (opart.9nt) In o puhlic hou1in9 projoct; thot h, h It ownH hy 11 locol honing 11uthorlty or Ofhor public agency?

7,. Aro you paying o lowor renl becouH tho Fodoral, Stcito, or local Gov.rnmont it paying part of tho COit?

75. (In od.tltlon to your rant} do you pay for -

; 11@ 1 D Owned - Skip to 75

' : 2 O Renled

' :@) . .[ii] o D Ckaipied without P&)'lnfrlt of cash rent - Skip to 75

@ 1 OYes} 20No Sklpto75

@ 1 OYes -Skip to 75

2QN0

@ 10Yes

20No

@ •OYes

2 0 No, included in renl } or supplied free Skip to b(J)

s O No, electricity not used

-----------------------------------,---------------------------------------'

(2) Whcrt 11 tit• overcig• MOHTHL Y cost? : @) S • l:ii:I '

b. (1) Ga1? : @ 1 OYes

', } z D No. included in rent : or supplied free , Skip co c(l) : ! 0 No, &as not used

-----------------------------------~---------------------------------------. '

(2) Whot 11th• overcige MOHTHL Y cost? ] @ S , fiiJ '

c. (1) Wot•r? i @ 1 D Yes

I Z D No, included in relll Of no char1e - Skip IO d(l) ___________________________________ J ______________________________________ _

' ' (2) What Is th• YEARLY cut? ) @) S . [i!]

' d. (1) Oil, cosl, kerciune, w_,/, etc.? ) @10Yes

: Z D No, included in rent } : s O No, these fuels Skip 10 760

I not used or obtained free ' ' ' - --------------- - --- -- --- --- - - --- - - ,- . . '

,(2) Whot i• th• YEARLY cost? i @s ______ [iQ] .. o ............ ,, .. ..

- ,SKt1 .. me ':"' ~UPIED· ~l!S Clacl-. U1'E) - ContlnAd' 76o. (In addition to your ...,t) do you poy for gorloage

and troth eollectlaa? :@1QYes

i 2 0 No - Skip to Check Item O

b. Whot is tlie YEARLY cott? i@ s . !iii

CHECK (See Check Item K, pace 19)

D Rented for cash -Ask 170 ITEM 0 O Occupied without payment of cash rent - Skip 10 C/Jed Item P

no. Oo ,._ rent ti.is oportment {"-uH) furnished :(§) 1 O Fumished or unfurni1hod? : 2 O Unfurnished - Skip to 77c

J.. h the cost of tlih furniture Included in the !@> 1 0 Included in rent - Skip IO 780 rent, or do you pay lot It Hporotely? ' z O Separately - Sklp to 71d ' '

c. Do you rent furniture from 1a1110 otlter source? :@) 1QYu

' 2QN0 - Skip co 7So ' ' d. Whot h tlio MOHTHL Y cott? - J@s Ii]

78o. Aro parking focilltlu O¥oiloblo In connection with this building? [@ 1QYes

1 zQNo-Sklpto78e

b. Do you rent uch o space? 1@•0Yes

' 2 0 No - Skip to 78e ' '

c. Wltot h th• MOHTHL Y coll for thh pork Ing space? i@>s Ii]

" Is th• coll of th• p111rking space Included In !@ 1 0 Included in rent } Skip to Check th• S , . , (rent entered in 71 ). or do you po)' for It Hporor.ly? ) z O Separately ... Item P.

•· Do you rent a parking 1poce In lh• noighloarhood \@10Yes oth•r tbon tliot connected with th• building? : zQNo

(See Control Cord item 270) CHECK O ()rle-1.1nit structure, or a mobile home or trailer:.. Skip to SO ITEMP 0 O Two-or...,ore-unit structure - Ask 790

790. DoH the owner of ti.ii building 11¥• on !@ •0Yes-Sklpto80 thh prop•rty? ' zO No : ' JO Don'! know

b. Is th•re o resident mono9••, swp•rlnt•nd•nl, °' ' janitor who 11 ... u on thh property? :@ •OYes

: 20No : i O Don't know

80. D• ,...., or ony ,,,...,i.., of your houHhold own o \@10Yu s•cond h-• or oth•r 11¥1"9 ciuorteu which you

occupy somoti.,• during th• yaor? ' 2QN0 ' '

"

)> .,, .,, m z 0 x )> I

(") 0

" -:;· c: (I) a.

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

0

2 S.C:tl• lllC - OCCUP.IED UHITS (lncl..n UREJ - CentinoH (·' ,• ,!, ' .. , 8111. How 111•n)' ca,. or po1un9•r automobilH oro ownod Q!Y 1 O None

or r9911lorly used li7 111-b•r1 of )'OV• ho111ohold? '0'

(Co11nt coliipany cors kept ot home, do NOT •02 coont trucks.) . •Ol !i04ormore

b. How •1t11Y trucks of ono•ton capacity or i<!!!J •ON'"···} IHI.,. ownH or r .. ul111rl] uHd liy Skip to 1110111~••• of yo11r houukol ? \ 201 ..... Check Item Q, flOJ"' 26

(Co1.1nt company.trucks kept 01 home.) : 3Q2ormore

~·. T.roriscr/Ptltm lttms .. ,, ' ,. •

. " . . NOTES

'

•

..

.. "

Pqo 25

Section 1iiC!-':OCCUPIED UHITS Clneludo URE) - Coiitin'!_,;J

CHECK ~ITEM Q

DURE household (See item 7, poge J) - Skip to 105, po1e 31

/See Check Item A(J), poge 14) O Head moved here durln1 the last 12 mGn!hs - Ask 83 O Head has lived here 11 month or lomger - Skip 10 102a, page 30

83. What wu the oddren of . .' 1 (heGd) previo111 residence?

U. What h the 111oi11 reuon •.. (head) moved from hi1 previous residence? (Write oJ/ reasons mentioned below, ond then mark the main reason.)

-·-----------

Address (Number and street)

City or town

County State ZIP code

OR ,,@ 1 O Outside the United Stain - Skip 10 102r;1.

P<11e JO 1 I I I I I I

' i@ ' ' ' ' : ' : ' ' ' :@) ' : ' ' ' ' ' ' ' ' ' : ' ' ' ' :@) : : ' ' ' : ' ' ' ' ' ' ' ' ' ' ' : ' ' ' '

EMPLOYMENT 1 O job ttansfer 2 O Entered or left U.S. Armed Forces 1 O Retirement 4 O New job or lookinr for work s O Commutin& reasons & O To attend school 7 D Other

FAMILY a D Needed l;u1er house or apartment g O Widowed

10 O Separated 11 O Divorced 12 D Moved to be closer to reb1tives 130Newly married 1•0famity increased 1s D Family decreased 16 D Wanted to establish own household 17 QOther

OTHER HID Nei&hborhood overcrowded u O Chania in racial or ethnic composition

of nei&hborhood 20 D Wanted better nei&hborhood 21 D Wanted to own residence 22 O Lower rent or less e1tpensive house Z3 O Wanted better house 24 O Oisplaced by urban renewal, hl&hway

construction, or other public activity 2s O Displaced by privilte action u O School~ 27 O Wanted to rtont residenee 211 O Wanted residence with more conveniences 211 O Natural disaster 10 O Wanted chanie of climate 11 D Other

I.

: ~,,~.o.c.c.o,.",~"c.,","""·-·-~~~~~~~~~~~~,c,",,-~~~~~~~~~~~~~~~~-,-~~~~

~

"' "' m z 0 x ~ I n 0 :J

''" :J c: ~

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

' S~tlon lllC ~OCCUPIED UHITS.{fo~/111/t URE}..; Conth1119' .. ",0--

" 85.:i. Wu ••• (head) th• heod of th• ltouultold in j@) 10Yes'.lc

hia pr• .. lout , .. 1denu ot tho thn• ho 1110•.d? ' O Respondent is the head - Skip lo ' INTERVIEWER ' INSTRUCTION ' ' O Respondent is not the head - Ask BSb ' ' z O No - Skip co 1020, po1e 30 '

lo. w ... )'OU also Cl ·-bft of.• ·'I (h ... l) :@) • OYcs housohohl in tho pro¥1ou rHidonco? ' zONo '

INTERVIEWER • If the responden1 is the head, or "Yes" was marked in SSb - Ask Questions 86-101 INSTRUCTION in terms of ··your'' previoos residence, H ''No" was marked in 8Sb - Ask questions

86-10! in rerms of .. head's" previou.t residence.

·~ How ••)' 100•• wore In ••• 's (your) {h..ad) ' , .... 1ou1 ... 1d911u? Do"°' count Hrhrooms, ' porches, balconlo•, halls, foyers, or lurlf·-•· :@ Number

' 87. How many bffrooru •ON in ••• 'I (your) {hood) '

pr..,.lou• ,.1ido11co? Count rooms usod 111ainly :C§> Number for 1loepln1, oven If 111od for other purposes. ' o O None ' ... How many p.,IOCll w.,o., .'1 (your) (hood) ' -' p .... 1ou1 ,..1d..,co ot tlio tlm• ••• (you) \@) Number (hnd) mo-d?

19. Did ••• (you) (l.Hd) h~vo c-plno pl11mbint ' O Yes - Wor• thou focllitiH 111.d lty •• .'1 ' facllltlH In •• .'1 ()'OVr) (hood) provlou1 r.sldenco ' (your) (hood) hou1oftold only? (bulldln1); tliot 11, hot and cold piped water, a l/111h :@ 1 O Yes - Used for dlat household only toilet, and o bottitab or 1howor?

' ;J 0 No - Als.o used by another household ' ' 1QN0

' ... How many llvlno q\IOrter1, both occ11plod cind "t@'> 1 O Mobile home 01 uailer (no perinanent vacant, wore ln th• bulldlnt wh•r•., .'1 (yo..r) room attached) (hood) prHlous rHldonco was located? ' ' 2 O One, detached from any other buildin&

' ' 1 O One, attached to one or more buildln&s ' ' •D' ' ' iQ3or4. ' ' aQ5 to9 ' ' 701,0 to 19 ' ' eQlOto49 ' ' 9 050 or more !

9ln. Wos •. .'1 (your) (hood) p ..... 1ous ro1idonco owned ; QYe~ or boint bollg!.1 lty someone In tho bo111oftold? ' ' Wo1 It ow....i 111 o coap•rotlvo or ' ' condamlni11111?

' :@) 1 O No - Skip 10 Check llem R

' 2 O Yes, a coo11erative - Skip lo ' ' 1020, po1e 30 ' ' 1 O Yes, a condominium - Skip to 93 ' ' 0 No -Ask 9/b '

b. Wn it rented for cooh ront or occupied i@ • O Rented for cash without poy111ont of cooh rent?

' $ O Occupied without payment of cash ren1 : .. o .................... '°'U• ,7

S.~tion lllC - OCCUPIED'UMITS (lnd..do uRE1- Co~tlnued

TENURE OF PREVIOUS RESIDENCE (See item 91, pate 17)

OWNED OR BEING BOUGHT

(See item 90. ~O One·unit structure - Ask 920 P!Jie 27) O Two-or-more-unit stn.>cture, or a mobile

home or trailer - Skip 10 1020, page JO

RENTED FO·R~ CASH OR OCCUPIED WITHOUT PAYMENT OF CASH RENT (See l1em 90, 0 One-unit struccure - Skip to 94 paie 27) O Two-or-more·unit structure. or a mobile

home or trailer - Skip 10 Ct.eek Item S

920. W111 thot houH on o pl111u lllf 10 111cru lllr more?

b. Wo1 th•r• 111 commorcl111I u10bll1hm•nl Or "'•dlcol or d.,110l 111fflc• on th. pr111porty?

93. Wh111t w1111 tho Ylllluo of that pr111port)' when . , , (y111u) (hood) m111v•d; that 11, 111b111ut how much did that prop•rty (houu 111nd l•t) ull f1111, •r w111uld it h111vo 1111ld for, hod ii b .. n f111r 11111•?

SHOW FLASHCARD B

9.C. w.,. that ho111e on o ploco of 10 acr•• 111r "'oro?

:~/;: -·~~~K'" ;~., {See item 91, P<Jte 11)

D Rerned for cash - Ask 95

:@.) ' ' !@ ' '

i@) ' ' ' ' ' ' ' ' '

'

1 []Yes - Skip lo 1020, pate JO

2QN0

1 O Yes - Skip to 102111, page JO 20N0

1 O Less than SS,000 2 Os s.ooo - s 7,499 30 7,SOO- 9,999 40 10,000- 12,499 so 11,500- 14,999 aO IS.000- 17,499 70 17,500- 19,999 • O 20.000 - 24, 999 '0 25.000- 29,999

100 30.000- 34,999 11 O 3S.OOO- 39,999 12 0 40.000 - 49, 999 ,,0 S0,000- 59,999 u D &o,ooo - 74,999 1so 7S,000ormore

Skip 10 1020, pafe JO

, @ 1 0 Yes - Skip to 1020, pa1e JO : 2QN0

.-.. ~ITEM. S '. O Occupied withO\lt payment of cash rent - Skip to 96 ·, '

95. Wh111t woo tli• MONTHLY ,.nt lot .. .'1 {yoor) (hood) pr•vlo111 opo"-nt (houu)? {If ren1 wos.not poid by tire month, wrile tire amount ond the time period covere-d in the "Notes" space. then compute NONTHL Y rent ond entel' on tire line provided.) {Include site renl for mobile homeS if ii was paid separately.)

9&. Wos thot houu (111pc1rtmont) In o public houslnt project; that 11, w111 It owned by o locol h111U1ln1 outhorlty or other public ogoncy?

97. Did ... (you) (head} PG)' o I Ow., ront bocou1111 th• f•doral, Slat•, or locol Govorn..,ont w1111 pc>ying port of tho c1111t?

' ' i @D S . liJ Per mondl I ------------ ----------------------

' ' ' ' ' ' ' ' ' '

NOTES

:(@) 1 0Ye$ -Skip to 98 : 20N0

\@) 1QYes : zQNo '

)> ..,, ..,, m z c x )>

I n 0 a :;· c: ~

...

Facsimile of the Annual ·Housing Survey Questionnaire: 1975 -Continued

Section lllC - 0ccuPiED u"HITS ffncllHle UREJ - Contl11u.d

98. (In oddltlan to rent), did ... (you) (he<id) also pay for -

o. (I) Eloctrh:lty?

]§ •OYes

' 2 0 No, included in rent } ' ' ' ' ' ' '

or supplied free

J 0 No, electricity not used

_'."'/:~

Skip 10 b(I)

-----------------------------------~---------------------------------------' (2) What wos the 01rerage MOMTHL Y cost? ! (@) s

b. (1) G0t? :@) 10Yes

1 2 0 No, included in rem } : or supplied free Skip 10 c{I)

: 3 O No, gn not used -----------------------------------~---------------------------------------

. (2) Whot wos the avera1• MOMTHL Y cost?

. c. (I) Wotor?,

' :@) i@) 1 OYes : ' ' '

2 D No, included in rent or no charge - Skip to d(/)

____________________________________ ! ______________________________________ _

(2) What wos the Y_EARLY cott? js · ~ d. (1) Oll.,C11ol, hroune, wood, etc.? i@ 1 O Yes

: 2 0 No, included in rent }

: JO No, these fuels not Skip 10 990 - : ---~------------------------------------~---------------------------------------

' (2) What "'°' the YEARLY cou? ! @) (22)

990. (In addition to rent), did ... (you) {heod) also pGy for gorbog• ond trash collection?

:@ •0Yes 11!. : 2 0 No - Skip 10 Check ftem T '

b. What wa1'the YEARLY costr !@ · (QQ] CHECK I (See item 91. t:>Oae 27) ITEM T, 0 Rented for cash - Ask IOOa

• , O Occupied withoot payment of cash rent - Skip to 1020, po1e JO

OOo. Old ... (you) (heod) tent the aport111ent (house) furnl•hed or unfurnished?

b. Wu tho coil of the lurnitur• Included in the rent or did, .. (you) (h.od) poy for It separately?

c. Did ... (you) (head) rent furnltu,. fro111 Hm• other source?

d. Whal wo.1 the MOMTHL Y cost?

~o"" ...... ••·".-"'

i § 1 O Furnished

\ 2 0 Unfurnished - Ask IOOc

/@ t 0 Included in rent - Skip to IO!o

: 2 O Separately - Ask IOOd ' :@ 1QYes

: 2QN0 - Skip to 10/a

' ' ' :@ls

P•1• 19

' - v. - 5":fl?ll illC'~-~CUPIED UHITS_(lnefvcle URE/ ..a: .. 11n...d -- • 0

1010, Woro p11rklng focill!101 ovoil11blo h1 :@ 10Yn connoctlon with tho building?

' 2 O No - Skip to 10/e

' b. Did •• , (you} (h.ad) r.nt 111ch \@ 10Yn

o span? ' 2 0 No - Skip co JO/c '

c, Whot wos tho MONTHLY cost for that ' ~ porking spoco? i@> • d. Was tho cost of tho parking 1pau included 1@ 1 O Included in rent } Skip la 1020 in tho S ... (rent entered in 95), or did

' z 0 Separately • , •• , , , (you) (h.ad) pay for It uporotoly? ' o. Did , .. (you) (hud) r.nt o porking 1poco in :@ 1 0 Yes

tl10 ,..;ghborhoocl other thon tho! connoct.d ' 2Q No with tho l>ui1ding? '

HOTE - Ask ofl ccacgorlu ;,. 1020 before NOTE - Ask 101b only for those cotcgoriu In proceeding to 102b, 101a which were answered "Yes."

r------------------------------------------- --------------- ---------------1020. Th• following q11u1lon1 are concerned whh b. D-1 it (condition) c. '•ii to obj ... 1i-bl•

dlflerenl ospech of your p'9unt neighborhood, bother you? !hot you would lilr.e H•r• is o li1t of condition• which 111ony p.ople to mov• Ir""" the have on th.it 1trHll. Which, ii ony, do you ho ... ? neighborhood?

. (1) Strfft or highway noiu?, [® 10Yes (1) sOYes-Askc sO Yes ""1 • zQNo •ONo 6Q No

(2) Heci"y traffic? :@l 1 OYes (2) JO Yes-Ask c sOYes

• ' ' • • • • • • . • I . 20 No •0 No 6 ONO

(3) Srr•ets '" rood1 continuolly in : @ 1 0 Yes Ill JQ y.,~ -A~k c sD Yes nffd of repoh, or open ditchu?

1

1 * 20 No 40 No sO No

(4) Rood1 impon11bl. due t11 1now, \@ I QYes "' sO Yes -Ask c sO Yes w11t•r, •le.? ..... , ...... •1 • 20N0 •ONo &0No --:@ •OYes

(5) Poor 1treet lighllng? ...... (5) JO Yes -Ask c sOYes

·: • ZONo •0 No 60 No

:@ 1 OYes (6) JOYes-Askc sOYes (6) Neighborhood crlm•? ..... • • I * zO No , •ONo 110 No (7) Tr0th, litter, or iunk In th• I@) 1 O Yes (7) JOYes-As~c sO Yes strHtt (roads), or on empty

loll, or on proportlH In thi1 : * zONo •[]No 6Q No neighbort.ood? . , , ........ :

(Bl Boord..1-up or obandoned :@ 1 QYes (B) lOYes-Askc sOYes stnic1ure1? . . . . . . . . . . . ··: . zONo •0 No 60 No

(9) Occupied hou1lng in rundown :@ 1QYn (9) 30 Yes -Ask c sQYes condition? .. , . , , , , , . , . , ., . 20 No 40 No 6 0 No

(10) Commercial, lndullriol, or other 1 @ 1 QYes (10) !QYes-Askc f . s O Yes nonresidenth1I octlvltiu? .... j • 2Q No •0 No 110 No

1@) 10Yes (11) JQYes-Askc sQYes {11) O<lor1, smolr.e, or gcrs? ...••. : • zO No •0 No 60No

:@) 1 OYes {12) lQYes-Askc s OYes (12) Nohe from olrplan• traffic? .. ·: • zQ No •ONo 6Q No

NOTE - If ''Yes'' was answered for one Or more of the categories in 102a, ask 102b.

P•1• 30

I

)> -0 -0 m z c x )> I n 0

~. :J c: "' a.

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

.

103. The following quo1tio111 ore concern1td with neighborhood urvlce1.

Do you hon ocloquota or 1oti1foctory -

(1) P11blic tron1portotion?.

{2) Sehooh? ................ .

(3) Hoighborho...I shopping such 01

grocery 1toH1 or drug 1torn?.

(4) Polin protection?

(5) Fi•• prot.ctio11? •••••••

104.,. In vi•w of all th• 1hh191 w• have tolkf-cl oboul, · I.ow would you ral• ti.ii MEIGH80RHOOD a1 a pion to live - would you uy it i1 nc•IJ•nt, good, loir or poor?

b. How would you rat• ti.ii HOUSE (building) as o pion to live - would you Hy ii ii ncell•nl, good, fair or poor?

OBSERVATION 105. A.r• th••• any buildlng1 tl.ot opp.ar to b.

abondon•cl and/or or• tl.•r• any buildings with window• brol•n or board•cl-up on this llrtet?

' : b. h it 10 inocloquoto or 1 unsotidoctory thot you

: ~=~l~hl; h to move

: neighborhood?

--- - - ------- -- - - -- - _J_ -

' ' :@ 1QYes :@ 1CJYes

: 2[~JN0-Adb : 2 ["_j No

' ' : ) 0 Don't know :

~------------------~-------------------:@ 1QYes !@ 1C]Yes

: 2QN0-Askb : 2QN0 ' ' : 3 CJ Don't know :

r------------------~--- ---------------' ' . :@ 10Yes :@ 1CJYes

: 20N0-Askb: 2CJN0

' ' 1 3 Cl Don't know 1

' ' r------------------~----' ' \@ 1QYes \@ 1QYes

: 2QN0-Askb: 2QN0

' ' : . S Cl OOtl't know :

r------------------~-------------------' ' :@ 1[JYes :@ 1LJY..s

: 2nNo-Ask.b :

: 3 0 Don't know :

2 [JNo

·~------------------i-------------------!@ 1[]Yes i@ •[]Yes

: 2[]No-Askb : 20N0

: 1 Cl Don't know 1

' :@ 1 O E"cel lent 20Good sOFair :

' •O Poor

1 0 EJ<cellen1 2 OGood 1QFair

. •D Poor

@ 10Yn

zONo

CHECK ITEM U

O URE Household (See item 7, page I) - Ask f06 (See Control Cord ilem 17aj

~D .. M A">·•!_••"""

DA one-unit structure. or ;i mobile home or trailer - Skip 10 109 0 Two;or-more-unit structure - Skip to f07o

P•u ll

' ·.' S•~tion lllC ;_.OCCUPIED UHITS"(lnc/ude_URE}- Contln"-d .. .

{Ask for URE Households only)

' § •U ·~ '°'"' ·-• } 106. It this UNIT intend•d for y•ar-rouncl UH, : «mpomH, "umo of ;"'"';ow) Fut'""' 1 Seasonal 112 onJ 113 for occupancy only on o H01onol bo1i1 or

1 : B ~~;t~:;so~~;Y ':,,J"' for uu by mi<Jronl work•r1?

: 10 D Other seasonal_ Specify ~Oflttol Corti 1 in notes ,,_ 38o : l O M1&ra1ory

OBSERVATION i@ 1QYes 1070. Do th• pulilic halh in 1hi1 building ho.,.

' ' >ONo ...... ·,;} li<Jhl fixturu? ' 3 O No public halls Skip to /080 ' .. A. .. th• ligl.t lixturu in working ord•r? !@ 1 DAii in work.in& order

' 2 0 Some in workin& order ' 3 0 None in work.in& order '

1080. Ar• tl.•r• looH, brol.•n, or mining 1t•p1 on any common nalrway1 ln1icl• tt.11 buildln<J or attacl.•d to ti.ii buildin<J?

i@> 1QYes 1 20N0 : 3 O No common stairways - Skip lo 109

b. A.r• all stair railing• firmly ottochcl? !@ 1 OYes

' 2QN0 ' ' 30No stair railin&s

109. In th• Ion 12 month., I.ow m.,ch did . ' Amount .. : Line No . (Do/lors only) eorn in wog•1, 1aluiu, lip1 and ' COmmiUiOnl (l>Ofor• !Ol<H oftd deductlon1)? ' (Otaoin fomily income for heod ond oll :@ @ ' l!£l persons 1-4• in household related 10 heod

' by blood. morrioge, or adoption. If the i§ @ [i!i] family hos more thon six members 1-4 t, ' combine the amounts for olt other persons ' on the lost .. Amount'" line.) ' @) [i!i] :@) ' ' ' !@ @) ' [i!i] '

- !@ @) ' [i!i] ' ' !@ @J ' [i!i] ' llOo. In th• past 12 month1, how mucl. did thi1 '

family eorn in n•t incom• from iii own \@s [i!i] bu•in•11, prof .. 1ionol ptoclic• or puln•t1hip? (Exclude income previooSly reported in ilem 109.) J@1DNone.

' ' 2 O Los! money (Enter amount LOST on line above) ' ' -· .. In th• pail 12 months, how much did ti.ii

family earn in n•t income from· lh own @)s . [i!i] farm or rancl.? (Exclude income previously reported in @ 1 QNone items I09 ond ! IOo.)

i

2 0 Lost money (Enter amoum LOST on line above)

.. ,,., ' Pqe 32

:I> -0 -0 m z 0 x :I> I

(") 0 a :;· c:

"' c.

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued _,.

- ' ' ~ S.ctlo11 lllC' - OCCURll!D UNITS·- Woitlnu.d 0 ., • 0

NOTE - Ast 111 a {Ol' all catepies befon osJdn1 I 11 b. NOTE - Ask 111 b Only {OI'

- those cotepln in II lo

!---------------------------·--------------------------- which were answerrd ••yu," --------------------

{Oblotn family income {Ol' lleod (lfld all j)Ulions 14+ i11 llovsellold related to head by blood, marrlqe, or odoption.)

11111. In tt.11 pa1t 12 1110nth1, did any 11111111Mr of fh11 111b. How 111uch was roc.iHd f-lly reni•• an1 money from -- f,.. hovru of lnc....,o)!

(I) Sociol Security or Roilrod ' ~ Rotl,..nt ,..,...,.h? , ......... , , :@) 10Yes 20N0 @s

' . l!!il (2) E1MtH, trust. or d1 .. 1 ..... dd ..•••.. !@ 10Yn 20N0 @• -

(3) lnte,.1t on H•l1191 occounts or bond1? . . !@ 10Yn 20 No @>s -~ ' -~ (()Net ... ta! loc-o? .• , . , ......•.. :@ 10Yes 20N0 ~$

(5) Welfcmr ,.,_ ... ,. °' other • !@ •OYu zONo @)s -~ ,.bllc 11uhhlac.? ......•....... p

' zO'No ' -~ (6) Une•pl.,..nt c-p ... 1atioa? ....... i@ 10Yu @)s '

(7) Wort.oa' 1 c-ponatloa? ......... !@> 10Yu zONo @s -~

' -~ (I) ~oot .. ployn ,....i ... 1? •.... :@) 1 OYes zONo @)s

' .rw (9) Vot.~111 poymo11td ••.•.......•• i@> 10Yes zONo @>s

(10) Pn .... to po11tloa• or ... .,.1t1u? . : ...• ' ~ :@ 10Yu zONo @ls . -~ (ll) Al1-n,. or chl1.t Hpport? ......... l@ 10Yu 20 No @>s

' (12) R-,11lor c011trlllutlo111 fr- porton• not li¥l111 In thl• houuholil? .......... !@ 10Yu zO No @ls -~

' [ii!il (13) Anything 0110? ················ [@) 10Yes zONo @)s

jNOTE. - If ·~y.,·· wos answered for one or more of tile co1e1ories in 11 /o, osk I llb.

OBSERVATION - FW for mobile home in 1roup of ,:@> 1 06-99 6 or more.

112. How many .. bllo homH oro in thh group? ' z 0 100 or more : OBSERVATION - Fifi for 2 or more unil uruc1~res \@ 1 O None, on nme floor

113. H•w ••1<1ny 1toriH (floors) ar• th .. • fro.., lh• moln a 0 One {up·or down) ont1anc• of !he bullillng ta th• main onlr1111c. of ' tho ap11rtmon1? ' 1 O Two or more (up or down)

' CHECK

/See Control Cord item I lb)

ITEM V O Household conuins only family members - Skip co Check hem w. pofe 35

- 0 Household contains pers~ns 14+ NOT RELATEO TO TH~ HEAD by blood. marriaze or adoption - Ask 114

Paa• H

-. Se~tlon lllC - OCCUPIED UNITS - Contlnuo.t

lU. In tho IHI l2111onthl, how much did ••• ..,m 111 woge•, 10\oriH, tlp1 onil ~0111111iulons (bofore ta .. 1 onil decluctlons)?

{Obtoin income for persons 14 + in household NOT RE.LATED TO HEAD by blood. morriofe or adoption.)

115.. In tho p<1lt 12 "'ontht, how "'uch iliil ••• ffm irt not lrtco1110 !IOlll hltlh•• ow11 butl11011, profo11io11al procllc• 01 partn•rshlp? ............ , , ..... .

b. In rilo pHt 12 _,,fti,, how -ch illil ••• ....., In 11•t ioco- fro• hl.tli•r _,, fo.., or ro11cl1? ...••...................

HOTE - Ask l/6b (Of' each •'Yes'' response in I 16o. Ask //60(andI16b, as oppropt"io1e) fOI' oil cotetOf'iU t- -- _______ _ b!L~!-!.l.~~'!_t_U~~·- ________________ ----------- _____ _ ______ __ _ _____________ _ 116o. In tho put 12 ... nth• iliil ••• (11-H of per1on1 1'• HOT 116h. Who ffCOiwitdth\1

RELATED TO HEAD br blood, 111arrl•t• or ail..,tlon) typ• of incom•? r•c.1¥• H)I .,.,..,. fro. - (Enter line numbers)

(1) S.c:iol Socurlty or Rollcood R11i,.....,t poy••atd @) •OYes 2QN0

(2) EttotH, tn11U er i11.,;il .. il1? .......... @) • OYes zONo

{J) lnterHI on Hwi111• occounu er bonils? . @) 1 OYes 20 No

{4) H .. r ... tol Inc.,..•? @) •OYn zO No

(5) Wolf.re poyM•atl or otftor public oni1tm1co? , , .... @) 1QYes 2QN0

(6) U11H1plo7111•nt comp•nHtlon? @ 1 OYes zO No

(7) Worii•en't. C0"'1'0fl10tlo11?, . , ··········· @ 1 QYes zONo

(8) Ga¥orn1110fll, n1plor" pon1iOt1.? @) 1 OYes zONo

(9) v.,.,.,., payments? @) 10Yn 20 No ... (10) Prl¥ot• p•111ia111 or •nnultiu? @) 1 OYes zQNo

(11) Alima117 or chili! •upporl? @ 1 OYes zQNo

(12) R•gi.ilor co11trlb111ions from parson• not liwing in thh hau1•hald? ................. . @) • OYes zQNo

(13) Anything •In?. @ 1 0 Yes 20 No i

NOTES @ I

Pm1e H

> ,, ,, m z 0 x > I b' ::J ~­::J c ~

>

l Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

. ,. ' . . . - S~tlOli 1v.::. -ENERGY coNSERVA.TION ., ' @> Line No. @) line No. @) Line No. @) Line No.

"'~ -~ 114.

.Ill "~ .Ill "· .II @ • @) • @) • @) • ~,... ~ 115a, .a ~- .11 llS.. 1!11 ~. . ~ •

... s

~· 10N°"e 1 O None :MS 1 0 None 1 O None z O Lost money (Enter 2 O Lost money (Enter z O Lost money (Enter z 0 Los1 money(Enter

DlllOUnt LOST amount LOST amount LOST amoont LOST on line abo"e) on line above) on line above) on llne above)

•INTRODUC:!'°~> I bove •-• 'l"••tions obout insulation yo. •l;llt ha ... odd.cl or in1talled to your i.o. .. dari"ll th• post 12 .... th•-, (Control Cord item 3-kr)

., CHECK· .,

O "Yes, ell windows" or "'Yes, some windows" in 3-ta - Ask I . ITEM'.\ O "No" marked in item 34a - Skip ro Check i!em B

1. During the po1t 12 nt0nth1 we .. ony ''°"" wlnclow1, !@ 1 OYes doulol .. gln..t 111111, or oth., protoctlv• COY8rin7,, 1uch H dos- lo 1hottor1, plHth:, ..tc., lnttol H ' 20 No

' over the window op ... 11191 on thi1 hOt1Ho ' • •• • •• • .II •• ~ • ~ • ~· ~· 1 O None 1 0 None 1 O None 1 0 None

z O lost money (Ent~ z O Lost money (Enter z 0 Lost money {Enter z 0 lost money(Enter . omounl LOST 011100nt LOST omounl LOST omounl LOST

on line above) on line above) on line above) on /lne above)

1 ·cHECK, {See ContrW.Cord llem 34b)

' ITEM 8., O "Yes, 111 doors" or "Yes, some doors" in 34b - Ask 2

•. O "No" marked in Item 34b - Sbp lo 3

2. :!,",~cdlj'::';h~,1~:.:f• w.,. oar storm doors :@> 1QYes

' zQNo

' 16c, How ,.uch did •• , 16c. How 111uch did ; •• 116c. How ,.uch did ••• 116c. How .. uch did. , •

'· D11rln1 th• put 12 -nth1 wDI lln)" ln111latlon oddff :@I 1 QYes or lutollff in this ho11H?

' zQNo-Skipro5 ' r9i'eivo from (soorce ffceive from {source receive hom /source r•ul ... lrom {source

of lnc0<ne)? of income)? of l11come)? of income)? (l) •• l£i • ,! .II lib .1111 (,ii) s • ... • •

-1 CHECK (See Control Cord irem 34c)

O "Yes" m11ked in 34c - Ask 4o ITEJ.IC •, .. O "No" or "Don't know'" in He - Skip to 4c '.

2) . 111 ~ • l • ~s .II fib s • "' • ~s • (,lli •• 3) II ~ •• • iii • "' • ..J! • t.lli •• }. • }. .II m • • '" • "' • ~ .1111 " II ,. .Bl ~ .ill "' • '.iii • "' • '" •

"'· D11rin9 Ill• pa1t 12 -nth1 wos ottlc or r90f l@) 1 OYes ln...,l"ti"n innGllod?

' zQNo-Skiptoc

' b, How •uch ln...,lotlon WH ADDED to tho ottlc or :@> 1 O Less than 3 inches toe! - WH it 1111 than 3 lnch11, 3 up to 6 inch11, ' z O J i.rp to 6 Indies or 6 inch11 or moro? ' ' 3 O 6 Inches or more ' ' • O Don't know ' '

,! m m, II ,! till ~ .M lS • "' • • ;!. • •• ;ll • .a ,!.! • .Ill .lb • -~ "' "' , .. "' ,! ~ ,! ~ "' h!il ~s -~ Jl7 s "' • "' • " ~ ,!. -~ i!. ~ %s -~ (ii 1] S "' • l~ • •

'6' . [§] (10

-~ (~ B ~ _I!] " f). '"' • ·~ • "' •

' c. During th• pG1t 12 MOntt.1 wos Gn)" ln111lotion Gdd..! :@> 1 OYes or lnllollod in tlio oJrtorior walls?

' ZQNo ' s. D11ri119 th• POii 12 monrlls ho ... you .,.U..! coullr.ing :@l 1 OYes

or •-rllorstrlpping to tlio Htorlor doors or windows? ' ZQNo '

(See Con1rol Cord ilem 25o) CHECK 0 Owned or bein& bou&ht'"J. ITEJ.ID O "Ye5" m•rked in any of I, 2, 'la, 'le, or S above - Ask 6

O "No" m11k~ in l, 2, <la, 'le, and S above - SlciP to Senion V, pg1e 37

'-iii . [§] (11

-~ <i¥s ~ Qii> . I!] • 13. • "' • . Jn •

(See C01J1ro! Cord item 250)

O Rented or rent free - Skip 10 Section V, pore 37

(~ . I!] ~ .§J l)fs ~ ~ .8 '" • ,., • '" • •

');ll, -~ (13 8 ~ a \llli .8 • r,;, • • "' . . (See Control Card ilem 27a.l

CHEC.K c--~- O One-unit strucUJre, detached, e>1ceiit mobile home or uoiler - Skip lo Section IV, pare ~6 ITEMW .

D All others - Skip to Section V, pace J7

•• WhGI WH tho totol c:Oll of tho (1tonn windows, 1,@ 1 OSl-99 1to1'11'1 doors, oilditionol ottlc or roof l11111lotlon,

' •D 100-199 odditlonal wall lnnlotion, If co11llr.ln9 or w..,th•r· ' 1trlppl119)-whlch wll oddad or lnstallad duri"I tha ' •D 200-399

' poll 12 •onthl? ' •D <100 or more ' ' 5 O Don't know ' ' a O No chai&e, or no~e ' ' 4-1 • Pa1e 36

. , .

> .., .., m z 0 x > I n 0 ::J -:;· c: ~

)> ,, ~

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued

1--PGM4 .I

.. Sec::tlon V - TRAVl!L TO WORK

I lntflrvlowff note: Fill llffl I oftot CDfllplofln9 Sec::llon V I I. Section V - Interview status l 1 0 lntervl­

' : NONINTERVIEW

I z O R1fusal

! •O Other

' 2. Enter fine number and riame of eoch l!oo$ehold member 14+ 1md tl!en

aslc item 2c for each.

Line ·~ ,,

N"am~·

2c. Did ••• ho"• o job IHI•• .... ?

(/ndude if temporori/y obserit from work due !o llfness, vocotion, layoff, etc,)

number (Marl< Mlt boor for eadl line No.)

"' ..... '" Yes 1

'0 .

' .. ,. '0

' '0

-~ . '0

' ;.- . ''0

·--~- . '0 . ,. ' ;;,, .. ,.· ':l, ~~I '0

··~'' "' 1,•,· « •O

'0 . '

•O ' ' ,0

'0 . ., • >O

>O

>O 1 Tr1n1crlbe tll• lln• IUllbtr lrx nc/t ··y•s" &'ISWllr In quHtlon 2c obovo to lh• IOP al I leparotl pe119 Olld ask lh•

opproprlot• qunl/0111. 2' All "No" go to Control Cord lt1111 381

"1NTRooucT10N·) Tho following quD$lion$ or• concerned with how persons in your housohold usually get to work.

"'' •O

•O

•O

•O

•O

•O

•O

•O

•O

•O

•O

•O

•O

•O

•O

+ -PGll5

~1;:be1 :@) I Line numbef 1@ ol respondent ' ,,,......,,.1111.-...w.-··- D

31. lllal Is ••• 's prtnclpal llClllS o1 trmsportati111 lo WOil? 4d. Is .. .'1 plact ol MR Inside lie IDc:mpcnlld {lepl) llldls ol

@ 10T111ck .••. ·} (na11111 of city, town, viltap, 1tc., listod in 4c{4)?

(Jtt) 1 oves 20N0 sO Don't lulow z D Car ()I cmpool "'i 5, '1111 llllll dDn ... 111111lly llm tor wmt?

@) 1 O Drives alone -Slrlp 11:148 @I ___ Timt 2 D Shares driving ....•• } •D Drives oUrers ....... Skip lo3r; @!) 1oa.m. • O Rides with somecne else

1 O Walks oo!y - Skip to•• aop.m.

, D Works at home - Slllp 1o a. i. ltow 1o&11 don It usually tlb ..• 1o pt lrca llollll lo .n?

10 Railroad @) ___ Minutes • D Subway ~r elevated 1. lblt is , •• '1 OltE·IAY dlstucl lrca llga lo WOik? 1 D Bus or s\Teetcar

@) __ Miles •oOTuicab OR oOlesslllanlmile

11 O Motorcycle II. ID 1111 last rar.1111 ••• dlmpd Ills llflllclPll .-s Ill nD Bicytle . klaspartall• lo wmt?

•10 Oilier means - si-tlY @ 10Ytt 10N0-Slrlpl0" b. Don ••. llSlllllly ALSO ast I car tor part of lbt trip b. 'lb1 •11 , .• 's prllldpil MlllS ol ~ID WOik

lo •oR.7 IP'iar lo lbt dlailp)?

@ •OYes 20N0 -Slrlp1aaa @ •OTnrck ·····} c. Horw 11111)' pnple, lDCladiq ••• , llSCllllJ ride IA lbt 2 D Car or carpool 7

tar lo irorl? @ @) ___ Number 1 D Orovt alone zOSllafeddrMn1

•1. Don ••• uSVJllY WORK 111111. saait loclti111 t1cll claJ] 1 D Drove olhas

@ rOYes-SJtlp/04<:: 20N0 • D Rode with someone else

b. Does ••• 1111111Jr REPORT to the same 1oatlan lo 1 D Walked only

be1ln waB utll day? 1 D Wol'll«I at homt

@I •OYn •ONo-Slllpto8• 10 Railroad

r

c. Ihm Is ••• 's usual pllce ol .,,ort;? .. 1 D Subway or elevated

(I) Company or bus111ess establ1s!Jmenl name • D Bus or streettlf

. ' 100 Tu.icab

- nOMotorcycle

' ' ' '., ' I J J ! I ••D Bicycle (2) Address ,,...,,,... - WwtJ • 2 D Oilier 111tans -· Natt - If address (ltlllllber and street name) are not

knoa'll, eotei buildin& na=e, shopilin1 ce11te..- 11me, 9. If "Yes" aw\ed in 8a - ASK 1 If "No" 11arll.ed in 8a -ASK or oilier physical location description. ~lo ••• 'lpllflaas l Coqlared lo I ye.- ap, -

·- ol lmlsiafllloe lo worll 1 utlsfled is ••• - •1111 bis (Given in Biil, bow 11tllflld l1 :Jlfladp;1l11t1111ollnmplf-. ••• wllb bb prnal - ol 1tatlClllo'#Glk-agcllan,

(3) Hames ol neaiest ~nterseclint .streets bmpcrtatloo lo "' - mdl : 1111111, lbaat a. 111111, less or ..... 11111, abaut a. .... less ' llllCll Ins slllsfled1

' ' .

' ' ' or cxll Ins Slllsflld? ' .....) @ " . . I I I I I I I I I • D Muell more satisfied

. I 1 o More satisfied

(4) Name of city, town, villail!, ba1ouafl, etc. 1 D .fboot Ille same satisfaction • o Less satisfied

I I I I t. It I I I I I I I I 1 D Muell less satisfied

' ' ' 'I 1=~·1 ' •D Oon't lulow 'O Oid not 'll'Ork lut year

{5) County

INTERVl~WER ~) 8e sure to transcribe items 2c, la, lb, 6 . ' and 7 !or head of household to items 82H State I ZIP code, I C' on pa1e 13 ot AHS-2 ct,testionnaire.

·- ·~ I Ad: Duuli<;n 0 "O"• N for Iii• HEAD t

)> "D "D m z 0 x )>

I n 0

a. " i:

~

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued

CHECK ITEM A

{Mark air 3 parts) {I) H"ad had job ln1 week. {' 0-Yes•• In item 2c) ....•.•.... , 1

(2) Head reports to sam" locetion each day. (" 0 Yes"in Item 4a"' 4b) :

(3) Head works 5 miles or more from home. (11em 7 is 5 miles or 1 mon. If ilem 7 is blonk. morl: tire ' 0 No" bo.-.) •••• , ••••• , •• :

•A.II .. Y.a," 90 to /111,. 10. 4ny other co111binotlon, '°to th• nul "''"ier.

OYes~

OYes•

OYes•

IOo. DoH , •• (heod) ho,,. ony olijectioH to the dl1tonce {he/1he) m .... h 1@ t O Yes JI. to 9et to ... orlr.? ••..•••.•.....•••• • • • • • • • • •. • • •• • •. • • ..... -: Skip 10 c

ON• ON• 0 No

,._~~~~~~--;

Ii. Whot would rou Hy yovr rMHt11 ore for liv\119 Sot •ore •llH : f.- •• .'1 (heod) pion of work? t

lllrffcon•- "' · : (I) You lih the n•lthb.ors h'I your pre111t1t n•lthborhood? •.•.....•••... J@

'=~~~~~~--;

(2) Y•u ltlr.11 r•u• h""u {11por'-11t)? ••••.••.••.•.••.••••..•..••. :@

30Yes •0 No

10Yes zO No ~~---------;

(l) YltUr pt'Hllnt h-• h cleu to good schoeh, er chufl:h? .•••. ,, •••••. : r@0a'°'-cCC-c----~=---I (4) Your present ho.,• 11 con,,.nlenl to •hop1,,..creotlon,ond 1hnllorfocililiH?:@

3 OYes • 0 No

1 OYes zO No

(5) ~·;::,,.,::~:r~~~•. I.• 0c,l~1~ !~ ~·. j~~: ~I.~~~·~ ~".9.''.d~~ ~~·. ~~~) .••... ":@".,~,----------t 30Yes •0 No

{6) You con afford Y""' pr•••nt ho••? ...• , , . , ••.•••.. , .•••.••..• ,:@,,"='~---------! {n Ye11'r• uud to yltUr preunt h-•, y .. •,. e-far111ble, y11U've 1 '4i2'

1 OYes 2 0 No

ol ... oy• llv.d h11r11? •..••••••••••..• , ••••.••••• , , •••• , •• , r:=-----------1 {8) S..e •ther ,..,.., I ho.,. net ol,..cly ....,tion.d? ..•..•••. , .•....•• 1 ~

30Yes •0 No

If .. Yes," specify reason(•) - :~ 1 O Yes°' zONoJI.

' ' ' (Skip 10 Note obove item,! I)

c. Wltot ore Ille rao1on1 r• don't 11 ... closer to •. .'1 (heod) pluce 11f work? : hitliecouH- I

•ONo (9) YllU don't llh ony hou1H which ore clos11r to ..,.,Ir,? ..•...........• :@ 3 D Yes

(10) You would not lih to 11 ... ••0119 th11 type of people 111 th• c, c.>,~----------1 nelghb.orhood1 which ore cl our to "'°'H ............ , .......... ,.: ""-'=",,'-'_D_Y_•_• ___ ,_D_N_•_,

(11) Th• n•ltl'iborhood1 clour to worlr.-ho.,. poor 1choel1 or loclr. church .. ?, •• :@ ". 0 Yes • 0 No r=~~~~~~--1

(1 Z) ~h:.;::~•:1:i'1~':4t.:1i:;,::•? t~ ~~'.~. ~~ •1 ~c-o~:·~:e~; ;•. :h_o;~·. r~~~~''.°."'. •• :@) 1 D Yes z 0 No

(13) Th• n11l9hborhoo1!. clour to, • .'1 {haod) worlr. ore - far from oth11r ', ==----------< 1o,.11,.,..,.i,.,1 •1ol11? •...•.•••.•..•..••.•••.•....•....... :~ 30Yas •ONo

~~~~---~~-" (14) YllU connot offord hou1h19 In naighliorhood1 clMer to ... 11rlr.? ..••....•• :@ 1 0 Yes 2 0 No

;.-"~--------" (15) lh•re 11 n• clot•• hou1ln9 a-1lobl11? •••••....•.••••.••.•••••• :f-@,"~'-'_D_Y_•_• ___ •_O __ "_'-j

(16) Y .. dOt1't llh ch011911; it'• trouble to move?, . , ...•........ , .••.• !@ 1 0 Yu zONo

(17) ••• (head'1) prHent job i1 t-porory, or ..• {bead) ••Pfl;h 1;.==----------j to chonp jobs? ••.. , ••••••.. , .......... , ....•..•••.••. 1,~='-'_0_Y_•_• ___ •_O __ N_o-i

(18) 5oni• 11ther reo1on I have not olreody •entlon.d? ...•••.•••••••••• i@ ID Yes z O No If --res:· specify reason(s) -

1 ' '

HOT~> If 2 OI' m~ .. Yes'" answers in catepies 1-18, ask lctm 11. If one ··res•· or al! 00 No.•· go to nCJ(t worker,

11. You kov• toltl m• tk111 the,.. .... , yov llv• Sor more 111llH (rom w11rlr. or• 1 (Specify "Yu" onswers mentioned in 1-18 obove). Which reason would 1@

fh:ad)~~~1r.'~~ ~~~·.1~:,~~; '.-:i~c:". ~o~ .t'.~.s. ~r ."'.'~~ ~'.'~·. ~·~~ _- _- :·~ . ..•• j 42' ---- Reason number (Go to ne.-1 worker)

! ~c,... ,.., .... ,..,,.,,,

• _,..., ~1i~~1n5~~ber :@) I Line number '@

of 1espondenl • 389

la. Wllat is ••• 's pri11eipal means ol transportation to work?

@ •[]Truck ····} >l:JCarorcarpool """'il

® ' [l Onves alone - S1<1p I041 >[JSharesdrmng .... ··; 1 [ J Ouves others ......• SJup I03c

•Cl Rides with s.ameol'll! else s 1: J Walks only - Sl<•P ioo

6 Cl works at llome - SJ<.ip"' 8•

1 r:) Railroad

• LJ Siibway or elevated • [J Bus or shee1car

•o[]Taxotib

'' [_ j Molortytle >J [_] Bicycle

u L-1 Other means - &>o<:•tr b. Don •.• USUilly ALSO use I Clf lor Piil of Ille tiip

lo wort?

@ • L 1Yes 1[)ND-5'<ip104•

c. How may people, i11cludin1 ••• , llSUllllY 1idl I• Ille tJf lowarl?

@ ___ Nu1:1ber

41, Does ••• USlllllJ WORK 11 IM- louti1111 pell dl1?

@) •CJYes-51<.ipro~ 11~1No

b. Octs ••• usully REPORT lo thr $a1111! 1ol;l!iOD lo becin woB. ucll Py?

@ •[!Yes •i:1No-S1<.ipro8e

c. Wheft is .•• 's 11$1111 plate ol worl? (I) CoRIJlany or business ts1ablishment name

' ' ' ' ' '

' ' ' ' ' ' (l) Address (Nu'tee< end sr....,11

Noh! - If address !number aod s1reet name) are not known, enter build1n2 name, shoppin2 ttnler name, or 0!111!1 phys1ta\ locahon descr1plion.

' ' ' ' '

' ' ' ' ' ' 131 Nar:ies of nearest in1ersettma ~reels

' ' '

' ' ' ' ' ' ' ' I

(4) Name !rf c1\y, lowo, village, borou~, etc.

' ' I > I I I I I ' I I I

I Ir_:-_ I (5) County

' '

State I ZIP code . I .. ' ' -

II Ip/..., • ., In l~IO -·-· -'< lhJI k• D 4d. Is •• .'s place of work inside lhe incorporated (ltpl\ lilllits of

(name ol city, lown, village, etc., lis1cd in 4c!4J?

@) •I: !Yes 'I. I No 11_ I Doo'tknO'll

5. 'flhaltii:ie does . .. usually lent !or wan.?

@) ___ T•me

@ 1 I_ I a.m. >I: 1p.1:1.

'· Haor l1111t does ii naally take • .. to~tlromi-to•?

@) ___ Mmul;s

1. Whal is .•• 's ONE·IAY diilll11te lllllll b1311e to llOI\?

®---»•Tes OR o[J Less than! mile ... In lbe last yur, has ••• cllanpd his pri111:i,_1 _sol trusporlltion to won?

@) •I I Yes 1[ _I ND - SJ<ip ro ti

b. Wllilt WIS ••• 's P1incipal llltlH ol lfJllSpoflllion IO work (P1i111 to the chilqe)?

@ •I !Truck .... '} ,, I Cat or talllOOl 7

@ 'I: l Oro'lf aloM 2 L: I Shared dl'ivina •L.:J O<Dvt olhti) •I: 1 Rode wi1h someone else

1i_:1 •~lked only •I_\ Worked 11 ha=e 1[J Railroad

1 I: I Subway or eleva1ed 1 [ · I Bus or slreetcar

>•I. I Ta~icab 11 I_ I Motorcycle

11:. I Bicycle

11; ~I Other means - Sp«;tty .. If "Yes" marked in a.a - ASK • U "No" marked in 8a - ASK Compared lo ••• 'S PfHiOOS : Compared to 1 ~ aeo. 11ow meam; ol lr.lasporbti1111 to wart , uUslred is ••• - with bis IG1ven in BbJ, llcrw satlslied is : P1incipal 11t1111 ol lrlllspof-••. with bis presat atarS of 1 lltiOD to wart - llUCll .art, lr.lnsportaliDll to wort - llllCfl : llft, abcxlt lbe same, less Clf lllClfe, .are, abaul lbe samt. less : 111;1t11 less satisfied? 111 =di less salidilld? __.) @

~ • 1: I Much aiore satisfied 11: I More ut1shed , L: 1 About the same satistaction •I~ I less satisfied •l:JMuch less sahshed •I: I Don't know 1 r: I Did ool wtirk last year

> Be sure lo transcube items 2c, la. lb, 6 INTERVIEWER am$ 1 lor head ol hoosehold to 11ems ~2a-e

"' on Pate]] o1 AHS-2 ~estionna1re.

I A.ii Ouurion JO . " ftn the HEAD I

)> .,, .,, m z 0 x )>

I n 0 :J -5· c: CD c.

• - PC'OMS

. ;t~,:~bel :@) j Line numbec +@ ot respon:lent •

3a. lblt is ••• 's principal 11e111S al tr.allSjll)lbtion la work?

@) 10Truck : .... } i O Car or carpool ""1

@)' , O Drives alone - Si<ip 104"

·:-··· •O Shares duving ·: .. :-'. '} 1 O Drives olheis ....... $11ip I03c

• O Rides w1lll someone else sQ Walks only - SJ<ip f04a

'O Works at home - Sllip ro &o

70 Railroad 1 O Subway or elevated 9091Jsor streetcar

10CJ Ta~icab '• D Motorcycle 11 D Bicycle u O Othe1 means - Specily

11. Don ••• irsually ALSO 11se a car loJ pm ol tbe trip . to wen?

® 10Yes 20No-SJupJ04•

c. How 11111ny people, i11eludin1 ••• , nllilllr ridll in Ille UI' lo •DR?

®---~u~ber 4a. Does ••• u~ally WORK al the same location uth diy7

@) iOYes-Sklp_ro<1c 2QN0

b. Oces ••• a1111llJ REPORT to the same loa.li• to be,U. wen adl dly?

@. ;OYes "

•DNo-SJ<.ipro!la

t.. lllefe Is ••• 's aSllll place ol woR? (I) Company or l:\Jsiness establishment name

' ' ' ' ' '

' ' ' ' ' ' ' ' (l) Address /Mlrtlet w 11ree1J · Note - It addtess (number and street' name) are not kno"11. enter l:\Jilding name, shopping center nane, or other physical 1ocat1on description.

. ' ' .. ' '

' ' ' ' . fl) Names o! nearest intersectiog streets

' ' ' ' . \

I I I I I ll I I I I I I I I I o I

' , I (4) Nallle of city, \IJwn, village, borough, etc.

. ' . ' ' ' I I I I I I I 1r~~1 I,.,

(5) County

' '' I I I 0 I I

State !ZIP_code0

, 1. .-o~ .. •><•·• ••·• '·'"

Facsimile of the Annual Housing Survey Questionnaire: 1975 -Continued l+ .... PGMSI ' .. D ,, ,., - .. "'lfN_• -· _,.,. IJIJ• -

;t;!i':be1 I@ / line nurnbef •<!!) IFl•l-•lnlN"•-.-W•- D ot rtt!JOndent ' 4d. Is •• .'s place of !IOI\ inside lie incorpcnled {lepl) limits ol

(nallle ol city, town, vi!la21!, etc., listed in 4C(4J?

@ •OYes >ONo •D Oen't ~now 5. What time doe1 ••• llSlllllly leave hx work?

@) ___ Time

@) •Qa.m. zQp.m.

3a.11111 ls ••• ·s pri!lciJlll lllUllS of traaspartaticm to nt? 4d. ls •• .'s place al wart inside lie iacurporated {lepl) limils of

@) 1QTruck ·····} (name ol city. town, villa&e, etc .• listed in 4c(4J?

•D Car 01 carpool ""i @ •oYes 1QN0 •D Don't know

@I 5. Miii time does ••• llSlli!lly leave lor work? , o Drives alone - Skip to4B

@) ___ Time · 10Sharesd1ivina ..... '} 1 D Orives o.tlrers ....... Skip to3c @ •oa.m. . o Rides w1lll someone else

s D Wal1'.s only - Skip ro u •op.m. .. How 1111111 don ii llSUllly bb ••• la pl lfoll llomt lo waR? 1 O Works at hoore -SJtlp ro h '· How lont does ii llSUllly late ••• to &el lrcQ hollle to wart?

@) ___ t.111111\es

7. Wllal Is ••• 's ONE·WAY distance from holllt ta work?

@---Miles OR o O Less than I mile

70 Railroad ®) ___ Minutes 1 O Sllbway or elevated

7. 111111 is ••• 's ONE·WAY dlsla11te lrcQ llome to work? t O Bus or streetcar

@---Miles •ooTaxicab OR a D Less than 1 m>le

Ba. In llte lul year, II.as ••• chanced his ixlntlpal muns DI tr.ansportali.on to work?

•, O Motorcycle la. In the last year, hn ••• chanpd his pri11eipal means of uO Bicycle transportation to work?

@ •OYes 20No-SJupro9 12 D Othe1 means - Speclty @ 1oves zONo-Sl<lpro9

b. What·~ ... '1 princi111l -.ans ol lfallSp(lfblioa to nt (priOI' to tbe chluqe)?

b. Does ••• asually ALSO 1151 a car tor pm of the lrip b. lbat wn ••• 's prillti111l mns ol tra!ISpOlblion to won to wen? (priOI' to Ille dgrqe)?

@ 10TJUck ..... } •OCaro;carpool 7

@ 'O Orove alone 2 D Shared driving

® •OYes zONo-SJtip1a4a @ 1QTruck ·····} c. HOIJI' lllllY people, ilxludia1 ••• , USUlll)" ride in Ille 2 D Car or carpool ?

car to wart? @) @ ___ Number 1 O Orove .alone

2 O Shared dr1v1ng • D Orove others 41. Does ••• asually WORK at Ille same location each day? JD Drove otlrers • O Rode with someone else

iOWalkedcnly 1 D Wor1'.ed at hoelle

@) 10Yes-S1<1pro4C 2QN0 •D Rode with someone else

b. Don •.• osull)" REPORT to Ille same loati• to • D Walked only

becin •DR eadl day'? t O Worked at b:lme 1 D Railroad c

1 O Subway er elevated 'O Bus or streetcar

@ JO Yes •ONO-Sciproae 70 Railroad

c. nm Is ••• 's llSUll place al wort? • O Salbway or elevated

{l) Company or Wsiness establishment name • O Bus or streetcar 100 Taxicab -, , O Motorcycle

' ' I I o I I < I I ' ' ' 10 O Ta~icab " D Motorcycle

••OS1cycle 12 O Other means - Sp9city

9. If "Yes .. ear1'.ed in 8a - ASK , U "No .. m<11ked in Sa -ASK Compared to ••• 'I prniOllS : ea.red to a year asa. boll means of tnnispolbtioa to wart , satislilDd is ••• - witb bis (Given in Bb). tio. satisfied is : prillci111l -sol lranspof-••• wiltl ~is pieseat means ol I latioa to Warl - !auclr lllOl't, lrllnsportalion ta nt- llllldl : mm, about llte same, less or m11ni, more, abciut ttie same, less 1 r=uch Ins satlslied? or m11th less sati5fled? ' .J @ " 1 D Much more satisfied

2 O lkire satisfied 1 D About tire saiae satisfaction • D less satislied

' ' ' ' ' ' u o Bicycle (l) Address /Nwt>eir -1 straet/

12 OOlher means -$:Jllcity NDlt - ll address (number and street n.ame) are nol known, enter Wilding name, shopping centei n"11e. 9. U "Yes" earked in Ba - ASK 1 If "No" mill"ked in Sa -ASK or other physical location description. Compared to ... •s prniDlll : Coqlared to a rear aio. bow

I ' ' ' ' I 11ean ol traDSPOrtalioD to wan , satislled is .•. - witb bis

' ' ' ' ' ' ' (Given in Bb}, bow satisfied Is : prillcipal lldlS ol transpor·

' ' ' ' ' ' ' ' . ' ' ' ••. wltb bis present llUllS ol I lation to Warl - llUdl lllClll,

(3) Names of nearest intersectini stret!ts b1nspcrtation to wen - muclr : more, allolrl Ille same, less or more, lllOl'e, abrxd Ille same, less , much less sat!s!led?

' ' ' t ' ' ' • ' ' . ' ' or =rch less Sl!lislied? ' .J @ . " I I t I ' ' I I I I I ' ' • O Much more satisfied

' ' ' ' I I I' 2 D More satisfied

(4) Name of city, town, villqe, borouih. etc. , O About tire same satislaction • D less satislied

s D Mucir le~ satisfied •D Ooll'I know 7 O 01d not II/Or~ last year

,INTEriviEIER. > Be sure to transcribe items 2c, Ja, Jb, 6 and 7 lor head o! hoosehold to items B2a-e ,,.., .. ' on page 13 of AHS-2 !kJeSt1onnaire.

A.sk Q11ellion 10 none 39 fo• the HEA.0 l ~--.

' ' .. ' ' ' ' ' ' ' ' ' • o Much less satislied

I I 1 I .. ,. J,Pl--f '•' . 10 Oorl'llino•

(5) County 7 D Oid not work las! year

' ' ' . ' ' ' . l~~Ei£R~) Be sure to transcnbe items 2t,.la, 311, 6 and 7 for head of hoosehold to items B2a-e

State I ZIP code I . on pa,e 13 o! AHS·2 ~estionnaire.

' ' I A.sk Oues!lon 10 """• 39 lor tbe HEA.O I

'

)> -., ...,. m z 0 x )>

I n 0 :a :;· c: (I) c.

> " ! ,.

Facsimile of the Annual Housing Survey Questionnaire: 1975-Continued . . I t ...... l"Gll SI ! + ..,.. PGlll 5

~fi~~f~~~ber :@> I line numbe1 '. {!!!) f/ IHI_,,,. Ut ll>la -9llold, _,,. 11'10 l>H D or iespondent 1

Ja. 11111 Is ••• 's pfincipal llldl'IS of lranspJ!btion to WOfk? 4d. ts .. .'1 place of work insid• lhe incorp01ated {lepll Umits or

@) on~me o! city, town, village, etc .. listed in Jc14)?

1QTruck .... ·} @> 1QYes zONo i D Don't know J CJ Car or carpool -;

© 5. Whal li1111: doe~ . . . usully luve for work?,

1 O Drives alone - Sl<iP ID.U @) __ ._· Time zOSllaresd11vrng ... ···; •O Or1vtS olhers ....... Sl<ip fO 3c @) •Oa.m. •D Rides with SQllleDnt else

1 O Walks only - Slop IOU zr_J p.m.

10lotli.slllho::le-SJ<1p1aa.. .,_ Howlon1donit11SW1tlyt.akl ••• to eel lr<A llOM lo wmlll

1QRailrold @) __ ._1.t1nu!es

• 0 Subtray Of eltviti:d J. lbl is ... '1 ONE·IAY distance from bUllle lo work?

• O Bus 01 streetcar @---Miles •DO Tuical> OR o O Less tllal'l J '!'ile

~i~~r~~~ber :@.) I Line number 1~ D of respondent • lll9 ,, , .. ,_ ... '" 1111• --.I. -1111• bo•

31. Wllat Is ••• 's pdnclpal means of trHsportation It! wort? 44. Is •• .'1 pl1c1 ol work i1tSid1 lh1 incorporated (lepl) limits of

@I •oTruck ·····} (name of city, town, village, etc., listed in 4cl•l?

z O Car or carpool'. f @) •OYn zONo JO Don't know

© 5. 11111111111 does ••. usuall1 le•ve tor wort?

• O D1ives alone - Sl<lp io411 @) ___ Time. zOSharesdrivin2 .... ··; 1 o Drives o.thers ....... Sl<!p ro 3c @) •01.m. •O Rides w1ltl someone else

•O Walks only -Slr.lp ti•• zop.m,

1 O Works at home.- Sl<lp tt:o 8'I '· How lonl does It 11SU11lly takt ••• to set Iran home to -1?

10 Raitioad @) ___ Minutes 1 O Subway or elrvated

J. lbal Is ••• '1 ONE·WAY disluct !rm bmt to ..t? • O Bus nr stretttaf

@---Miles •ooTaxicab OR oOLtss\llanlmile

, , O Atottllcycle 11. tn lllt last ,ear, his ... dmsed his i:ii11eipal meazis of , , O Motorcycle la. la Ille last ,..r, Im ..• cllataed bis 111"l11tlpal ~cl ••OBicycle tranpartatlon to work?

u O Oilier means - 5P9<:1IY @ •OYes 20NO-Sk!PIOll 110 Bicycle transportallOll to work?

11 O Other means - SpecJl'y @ iOYes 20N0-Slrlpro11 ~ DOif., , usually ALSO use 1 car for pat of lbt lrlp II. •11111 •IS ••• 's principal flltlftS ol lransjlO!btion to wart __ ,

(prl« lo 1111 c!unl&'I')? II, Does ••• US111111J ALSO Ille. air far part of lbt trip b. Wllat was , •• '• prillclpal mealll of trlmportallon to work

la wort? (prior to 1111 chanp)?

® 10Yes -~

20N0-S1<1ptt14• @) •OTruck ····} c. Horw llll!J peoplt, h11:1udln1 ••• , llSWIJly !Ide ln the 1.ocar 01 carpool ?

car to ..tr? @ @ _. __ Number

1 D Drove atone 1 O Shared drivint

® •oYes zONo-Sl<lpl04• ® •OTruck ·····} c. How man1 Pffllll, incllldlna. , , , usually ride In lht zocarorcarpool ?

cartowtn7 ® @ ___ Number ' O Oruve alone

10Sl\a1eddrivi111 ... Don •• •• llSUllly WORK II the SUit location ad! day? , O Drove otllels 41. Does , , • U1111llJ IORK 11 lbt a. locrtlon ad! da1? 1 D Drove others

cmi 10Ytt-Sl<lplo.fe 10N0 'O Rode with oome~i;r else

b. Doll ..• llSlllllJ REPORT to Ille a. ICQtiClll to •D Walked only

lltlla west; adl Uy? 1 O Worked at home

@) 1 0 Yes -Sl<lp to.fe :ONO 'O Rode with someone else

b. Don , •• gsgally REPORT to lllt ume 1Dcat1111 to 1 D Walked only

bttlll wi:R acb daJ? • D W11rked at home

@) ·10Yn •ONo-Sklpro8.I •ORailioacl • O Subway or el~ed

c.lllerlls ... 's11S111lplac:talwoit;? • D Sn or slr~tcar (1) Qlqlany or Wsi1111u establisll::lenl nae •oQTaxicab

@) 10Yes •ONO-Sii/pros.. 10 Railload

t. lbm II. , • 's llSllll plact ol irort? • D Subwi)' 01 elevated

(1) Coqtany CH business establishment name • D Bus 01 strettcar 100 Tuitab

t I I I I I I I . . . • • D uotorcycle ' .. I ' ' ' ' I I I

••OMctorcycle . ' I I t' I I I I l I 110 B1cyc1t (?)Address {/'Uf'bfil n -J uOOlller meais -Specity Nllll - U address /number and slrett name) are nol

known, enl!I Wildin111a:1e, slloppi111 center nm1e, 9. If "Yes" marked in 8a - ASK 1 U "No" marli.ed in Ba -ASK or olbel pltysica1 lota11on destriptioo. Compared to , , , 's JllHIOllS : Colciared to • ye.- •So. bow

. . .... mes ol lnnisportation la work , satisfied is ••• - will! bis I I I I I ' ' . (Given in Bb), how satlslled is 'prlndpal llUllS of lraaspar·

' ' ' ' ' ' I I I I . • , , will! bis present 11t111S ol : tati1111 toWDll!-madl ....

(3) N11111es of nearest inte1sectin2 streets 1rans,crtall011 to ... - mudl : mcwt, dloul Ille -. ltu « .,,., llllWll, about Ille SIGlt, less I mud! less ptjsfjfd?

I I I I I I I I I I I I I I I ' . « =rd! Ins satlslled? ' .J @) ,,

. . . . t ',t I I I • O Much more satisfied

. I 0 • 0 ,, z O More .satisfied

(41 N1111e ol city, toW11, Yilliit, borouati, etc. 1 O Al:lOtJt Ille same satislaclion 'D Less satislied

I I I I I II I I 1 1 I I I I I l I •JO Bicycle (2} Addiessf/'Uf'bf/I n stflllfJ

Nllll - U address (IMllbeJ and street 11ame) are not 1 2 D Other mean - Spadty

known, entef bui!d1n1 name, shOlllling center nm1e, 9. If "Yes" maned in Ba - ASK 1 II "No" mar'Keli in Ba -ASK or ctllei physical le>cation desc1ipti01L Compared to ••••• P!lrillllS I Comp;alfld to I yea" 1111. bow

' ' ' . ' ' .. ' ' ' •cs al tramportatlon la work 1 utlslled is , •• - •Ith bis {Given in Sb), bow satisfied is : prlaclpat mew cf 1rartspor.

-1 I I ' ' ' ' ' ' ' • , , with his present llltlllS ol 1laUoa1tiwiQ-muc:haa•,

(3) Names ol nearest intersecting streets lraftSplltllion to wort - mucll : more, lbout Ille -· less • .... lllOll, •bout lbt ~. ltu , !lllldl less satisfied?

' ' ' ' I I I I ' ' I I I • I « 11111Cb les1 ullslled? .. ' .J @) ,, . . ' I I t .. ' • D Much more sa!isfita

. I. .. ·,.. z O More .satisfied

(4) Name or ci!y, toW11. v1llaKt, bo11xr2h, etc. 'D Abo.ti Ille same satisfaction 'O Less satisfied

' ' . ' ,· I I I I I I l I I I 1 O Much less satisl1ed I I I I I I I I I I I I I I I I 1D14uch less satislied

. ' .. ' I' ·'~--1 . . ' ' ' • O Don't know _ 7 O Did nol wcrk last year

f5)"""'

~RVtE?£R_ > Be SUie to transcribe items 2c, 3a. lb, 6 . . . . . - ' ..... ' ' . and 1 for head DI hOtJsehold lo itms 82a-e stile.) ZIP code I .· on ~ ll cf AHS.2 ia.iestiDnMire.

' .. ' ' __ .,

I Ad: Ovnrlon 10 •a- 39 lo. 11.t HEAD : ·-'~':':'

. . ' . I t:.:..~-' . . I 0 Don't know

(~) County ' O Did not work last year

. . ... ' . ' . ' INfERfiEIER > Be sure le transcribe items 2c. la, lb, 6 and 7 lor head of l!OtJsehold to items B2a-e

State I ZIP code I on Pa&e 13 ol AHS.2 IJ,estionnaire.

' ' .. I Ad' a. . .,,,.,, 10 39 lot 1loe HEA.D I .. o,. ..... ~• '°"""" "" ... 4)

• > " " m z 0 x > I n 0

" -:;· c: "' c.